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NPI Code Detail

MEDICARE: CROMBACH & GILSON DDS PC

MEDICARE: CROMBACH & GILSON DDS PC
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1538826144
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROMBACH & GILSON DDS PC
Provider Business Mailing Address
First Line : 6200 SLOCUM RD
Second Line :
City : ONTARIO
State : NY
Zip : 14519-9142
Country : US
Telephone Number : 315-524-7433
Fax Number :
Provider Business Practice Location Address
First Line : 6200 SLOCUM RD
Second Line :
City : ONTARIO
State : NY
Zip : 14519-9142
Country : US
Telephone Number : 315-524-7433
Fax Number :
Authorized Official
Title or Position : DENTIST OWNER
Name : DR. PHILIP GILSON
Credential : DDS
Telephone Number : 315-524-7433
Provider Enumeration Date : 11/18/2021
Last Update Date : 12/30/2025

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Directions to “CROMBACH & GILSON DDS PC ” Practice Location

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