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Athena Diamandis, DMD
General Practice Dentistry in Brockport, New York
NPI 1457505612

Athena Diamandis is a General Practice Dentistry based in Brockport, NY and is specialized in General Practice. Athena Diamandis practices in Brockport, NY and has the professional credentials of DMD. The NPI Number for Athena Diamandis is 1457505612 and holds a License No. 000077-1 (New York).

The current practice location address for Athena Diamandis is 300 West Ave, Brockport, NY and can be reached out via phone at 585-637-3905 and via fax at 585-637-4990.

Location: 300 West Ave, Brockport, NY, 14420-1118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457505612
Provider Name
Athena Diamandis
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
300 West Ave, Brockport, NY, 14420-1118
Phone Number
585-637-3905
Fax Number
585-637-4990
Provider Enumeration Date
11/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
161020913 01 NY EMPLOYER TAX ID
institution
Provider Business Practice Location Address Details
Address
300 West Ave
City
Brockport
State
New York
Zip
14420-1118
Phone Number
585-637-3905
Fax Number
585-637-4990
person
Provider Business Mailing Address Details
Address
300 West Ave
City
Brockport
State
New York
Zip
14420-1118
Phone Number
585-637-3905
Fax Number
585-637-4990
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
000077-1 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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