MEDICARE: FARMINGTON DENTAL

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1144903675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMINGTON DENTAL

Provider Business Mailing Address
First Line	:	1637 STATE ROUTE 332
Second Line	:
City	:	FARMINGTON
State	:	NY
Zip	:	14425-9601
Country	:	US
Telephone Number	:	585-398-2100
Fax Number	:	585-398-3573

Provider Business Practice Location Address
First Line	:	1637 STATE ROUTE 332
Second Line	:
City	:	FARMINGTON
State	:	NY
Zip	:	14425-9601
Country	:	US
Telephone Number	:	585-398-2100
Fax Number	:	585-398-3573

Authorized Official
Title or Position	:	FRONT DESK
Name	:	CHRISSY DEVEY
Credential	:
Telephone Number	:	585-398-2100

Provider Enumeration Date	:	08/10/2023
Last Update Date	:	08/10/2023

Similar Medicare Providers

1982611661 — DR. WALTER JAMES DECK DMD
Practice Location Address:

1625 STATE ROUTE 332 , SUITE 1-A
FARMINGTON, NY
14425-9601

Practice Phone: 585-398-3810
Practice Fax: 585-398-2413

1720140817 — WALTER J. DECK, D.M.D., P.C.
Practice Location Address:

1625 STATE ROUTE 332 , SUITE 1-A
FARMINGTON, NY
14425-9601

Practice Phone: 585-398-3810
Practice Fax: 585-398-2413

1811970445 — MR. EDWARD H DAVIS OD
Practice Location Address:

6081 RTE 96 S
FARMINGTON, NY
14425

Practice Phone: 585-924-2550
Practice Fax: 585-924-4399

1114900651 — EASTVIEW VISION INC
Practice Location Address:

6081 ROUTE 96 S , STE 8
FARMINGTON, NY
14425

Practice Phone: 585-924-2550
Practice Fax: 585-924-4399

1285609131 — MICHAEL SUSCO M.D.
Practice Location Address:

1386 HATHAWAY DR , SUITE A
FARMINGTON, NY
14425-8973

Practice Phone: 585-396-4190
Practice Fax:

1841213881 — JOHN C HARTMAN OT
Practice Location Address:

1235 STATE ROUTE 332
FARMINGTON, NY
14425-1077

Practice Phone: 585-924-3642
Practice Fax: 585-742-2559

Directions to “FARMINGTON DENTAL ” Practice Location

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