Organization · Type 2 NPI
1500 Grant BLVD Dentistry, PLLC
Dental Clinic/Center · Syracuse, NY
NPI number
1497263685
Active
Practice location
1500 Grant Blvd
Syracuse, NY 13208-3014
Fax (315) 472-4320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 051141 (NY) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Syracuse
About NPI 1497263685
1500 Grant BLVD Dentistry, PLLC's National Provider Identifier is 1497263685, issued on Jan 22, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Syracuse, NY. The record was last updated on Jan 22, 2018.