MEDICARE: DR. MICHAEL JAMES DARLING 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	049169	NY
2	1223G0001X	General Practice Dentistry	049169-1	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952306094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JAMES DARLING DMD

Provider Business Mailing Address
First Line	:	1423 BUTTERNUT ST
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13208-2372
Country	:	US
Telephone Number	:	315-373-0187
Fax Number	:	315-396-0310

Provider Business Practice Location Address
First Line	:	1423 BUTTERNUT ST
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13208-2372
Country	:	US
Telephone Number	:	315-373-0187
Fax Number	:	315-396-0310

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/23/2014

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