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NPI Code Detail

MEDICARE: DR. KURT A D'AMICO DDS

MEDICARE:  DR. KURT A D'AMICO  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry050323NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1331880OTHERNYFQHC NUMBER

General Provider Information

NPI Number : 1548254055
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KURT A D'AMICO DDS
Provider Business Mailing Address
First Line : 4933 JAMESVILLE RD
Second Line :
City : JAMESVILLE
State : NY
Zip : 13078-9428
Country : US
Telephone Number : 315-446-6620
Fax Number : 315-446-6621
Provider Business Practice Location Address
First Line : 4933 JAMESVILLE RD
Second Line :
City : JAMESVILLE
State : NY
Zip : 13078-9428
Country : US
Telephone Number : 315-446-6620
Fax Number : 315-446-6621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 01/21/2009

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Directions to “ DR. KURT A D'AMICO DDS” Practice Location

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