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Malone Dental Plaza, Pc
Dentist Anesthesiologist in Malone, New York
NPI 1942683198

Malone Dental Plaza, Pc is a Dentist Anesthesiologist based in Malone, NY and is specialized in Dentist Anesthesiologist. Malone Dental Plaza, Pc practices in Malone, NY. The NPI Number for Malone Dental Plaza, Pc is 1942683198 and holds a License No. 000649 (New York).

The current practice location address for Malone Dental Plaza, Pc is 209 W Main St, Malone, NY and can be reached out via phone at 518-521-3843 and via fax at 518-319-4242.

Location: 209 W Main St, Malone, NY, 12953-6400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942683198
Provider Name
Malone Dental Plaza, Pc
Credential
Provider Entity Type
Organization
Address
209 W Main St, Malone, NY, 12953-6400
Phone Number
518-521-3843
Fax Number
518-319-4242
Provider Enumeration Date
07/07/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01535226 05 NY
institution
Provider Business Practice Location Address Details
Address
209 W Main St
City
Malone
State
New York
Zip
12953-6400
Phone Number
518-521-3843
Fax Number
518-319-4242
person
Provider Business Mailing Address Details
Address
209 W Main St
City
Malone
State
New York
Zip
12953-6400
Phone Number
518-521-3843
Fax Number
518-319-4242
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.
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