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Contact Information

THE SUMMIT DENTAL GROUP, PC
7555 MORGAN ROAD
LIVERPOOL, NY13089
 Phone: 315-457-0620
 Fax: 315-457-0656
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for THE SUMMIT DENTAL GROUP, PC

NPI Number 1255426805
LBN Legal business name THE SUMMIT DENTAL GROUP, PC
Authorized official ROBERT CLARK - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # 04614
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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