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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

NPI Number 1205496965
LBN Legal business name CMP DENTAL ARTS PLLC
Authorized official ALEXIS BERNAL - (QUALITY ASSURANCE SPECIALIST- CREDE)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2019
Last updated 01/26/2026 - About 4 months ago
Identifiers
MA Medicaid 1972714376
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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