MEDICARE: DR. THEODORE MICHAEL CAMESANO DMD

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	030638	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467574178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THEODORE MICHAEL CAMESANO DMD

Provider Business Mailing Address
First Line	:	8 BUSINESS PARK CT
Second Line	:
City	:	UTICA
State	:	NY
Zip	:	13502-6308
Country	:	US
Telephone Number	:	315-732-6719
Fax Number	:	315-738-7140

Provider Business Practice Location Address
First Line	:	8 BUSINESS PARK CT
Second Line	:
City	:	UTICA
State	:	NY
Zip	:	13502-6308
Country	:	US
Telephone Number	:	315-732-6719
Fax Number	:	315-738-7140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1740250976 — FRANCIS C MIGLIACCIO DO
Practice Location Address:

10 BUSINESS PARK CT
UTICA, NY
13502-6308

Practice Phone: 315-735-2100
Practice Fax: 315-735-2171

1841260080 — FRANCIS MIGLIACCIO, DO, PC
Practice Location Address:

10 BUSINESS PARK CT
UTICA, NY
13502-6308

Practice Phone: 315-735-2100
Practice Fax: 315-735-2171

1912928870 — DANIEL G HERBOWY
Practice Location Address:

6 BUSINESS PARK CT
UTICA, NY
13502-6308

Practice Phone: 315-793-3668
Practice Fax: 315-793-3691

1063526226 — WADUD REZA D.D.S
Practice Location Address:

2 BUSINESS PARK CT
UTICA, NY
13502-6308

Practice Phone: 315-982-0692
Practice Fax: 315-732-0481

1740301027 — DR. JANICE C LEE DMD
Practice Location Address:

8 BUSINESS PARK CT
UTICA, NY
13502-6308

Practice Phone: 315-732-6719
Practice Fax: 315-738-7140

1740302462 — DR. KORIN E CARVILLE DDS
Practice Location Address:

8 BUSINESS PARK CT
UTICA, NY
13502-6308

Practice Phone: 315-732-4688
Practice Fax: 315-738-7140

Directions to “ DR. THEODORE MICHAEL CAMESANO DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.