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Contact Information

CMP DENTAL ARTS PLLC
7197 HIGHBRIDGE RD
FAYETTEVILLE, NY13066
 Phone: 315-637-7684
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CMP DENTAL ARTS PLLC · (Female)

NPI # 1205496965
Status Active
Credentials
Entity Individual
Enumeration date 06/15/2019
Last updated 01/26/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 1972714376
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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