Brewerton Family Dentistry is a Dental Clinic in Brewerton, New York. It is located at 5501 Bartel Rd, Brewerton, NY and its contact number is 315-676-2209. The authorized person for Brewerton Family Dentistry is Dr. Imadeh R Nosegbe
who is Owner of the clinic and their contact number is 315-676-2209. The primary license number for Brewerton Family Dentistry is 051614 (Dentist) in New York. Brewerton Family Dentistry Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Brewerton Family Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Brewerton Family Dentistry
Specialization:
Dentistry
Clinic Address:
5501 Bartel Rd, Brewerton, New York, 13029-8701
Phone:
315-676-2209
Fax:
315-676-2247
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Imadeh R Nosegbe
Position:
Owner
Contact Number:
315-676-2209
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Brewerton Family Dentistry clinic are as mentioned below.
NPI Number:
1164553079
NPI Enumeration Date:
09 Mar, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brewerton Family Dentistry are as mentioned below.
Specialization
License Number
State
Status
Dentist
051614
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02570547
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Brewerton Family Dentistry Po Box 830, Brewerton, New York
Zip:
13029-0830
Phone Number:
315-676-2209
Fax Number:
315-676-2247
Patients can reach Brewerton Family Dentistry at 5501 Bartel Rd, Brewerton, New York or can call to book an appointment on 315-676-2209. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.