Fall Creek Family Dentist
Fall Creek Family Dentist is a Dental Clinic/Center in Ithaca, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
501 N Cayuga StIthaca, NY 14850-3670
Phone: (607) 272-8118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 044135 (NY) |
|---|---|
| Dental Clinic/Center | Taxonomy 261QD0000X · Licence 044297 (NY) |
Record details
| NPI number | 1356600233 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathy Kinney — Office Manager · (607) 272-8118 |
| NPI enumerated | May 11, 2012 |
| Last updated in NPPES | May 11, 2012 |
| Mailing address | 501 N Cayuga St, Ithaca, NY 14850-3670 |
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