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Dr. Jeffrey Theodore Fondak, DDS
Prosthodontist in Carthage, New York
NPI 1184730392

Jeffrey Theodore Fondak is a Prosthodontist based in Carthage, NY and is specialized in Prosthodontics. Jeffrey Theodore Fondak practices in Carthage, NY and has the professional credentials of DDS. The NPI Number for Jeffrey Theodore Fondak is 1184730392 and holds a License No. 033273 (New York).

The current practice location address for Jeffrey Theodore Fondak is 33054 State Route 26, Carthage, NY and can be reached out via phone at 315-493-2106.

Location: 33054 State Route 26, Carthage, NY, 13619-8600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184730392
Provider Name
Jeffrey Theodore Fondak
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
33054 State Route 26, Carthage, NY, 13619-8600
Phone Number
315-493-2106
Fax Number
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
033273 01 NY DENTAL LICENSE
1342155 01 UNITED CONCORDIA PROVIDER
institution
Provider Business Practice Location Address Details
Address
33054 State Route 26
City
Carthage
State
New York
Zip
13619-8600
Phone Number
315-493-2106
Fax Number
person
Provider Business Mailing Address Details
Address
33054 State Route 26
City
Carthage
State
New York
Zip
13619-8600
Phone Number
315-493-2106
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
033273 (New York)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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