location
search-icon
institution
Ticonderoga Dental Plaza, Pc
Dentist Anesthesiologist in Ticonderoga, New York
NPI 1457869224

Ticonderoga Dental Plaza, Pc is a Dentist Anesthesiologist based in Plattsburgh, NY and is specialized in Dentist Anesthesiologist. Ticonderoga Dental Plaza, Pc practices in Ticonderoga, NY. The NPI Number for Ticonderoga Dental Plaza, Pc is 1457869224 and holds a License No. 000649 (New York).

The current practice location address for Ticonderoga Dental Plaza, Pc is 1019 Wicker St, Ticonderoga, NY and can be reached out via phone at 518-825-0025.

Location: 1019 Wicker St, Ticonderoga, NY, 12901-1787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457869224
Provider Name
Ticonderoga Dental Plaza, Pc
Credential
Provider Entity Type
Organization
Address
1019 Wicker St, Ticonderoga, NY, 12901-1787
Phone Number
518-825-0025
Fax Number
Provider Enumeration Date
01/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1019 Wicker St
City
Ticonderoga
State
New York
Zip
12883-1039
Phone Number
518-825-0025
Fax Number
person
Provider Business Mailing Address Details
Address
1019 Wicker St
City
Ticonderoga
State
New York
Zip
12883-1039
Phone Number
518-825-0025
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
000649 (New York)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.