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Contact Information

ADVANCED ENDODONTICS PC
5112 W TAFT RD
SUITE 'R'
LIVERPOOL, NY13088-4868
 Phone: 315-453-3636
 Fax: 315-466-3636
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ADVANCED ENDODONTICS PC · (Female)

NPI Number 1396881389
Status Active
Credentials
Entity Individual
Enumeration date 01/29/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 024191
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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