Healthcare Provider Details

I. General information

NPI: 1811080831
Provider Name (Legal Business Name): JOSEPH F FINELLI, JR., D.D.S. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5109 W GENESEE ST
CAMILLUS NY
13031-2352
US

IV. Provider business mailing address

5109 W GENESEE ST
CAMILLUS NY
13031-2352
US

V. Phone/Fax

Practice location:
  • Phone: 315-487-2668
  • Fax: 315-487-8661
Mailing address:
  • Phone: 315-487-2668
  • Fax: 315-487-8661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH FREDERICK FINELLI JR.
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 315-487-2668