33D2202744 CLIA NUMBER - ANTHONY J PEPPY DDS & SAMUEL J PEPPY JR DDS PC

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Laboratory Demographics

CLIA Number: 33D2202744

Facility Name: ANTHONY J PEPPY DDS & SAMUEL J PEPPY JR DDS PC

Facility Address:
1237 NORTH MAIN STREET
JAMESTOWN, NY
ZIP 14701
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Facility Phone Number: 716 664-2335

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750371175

Taxonomy: 1223G0001X - Dentist
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.

CLIA Record

Field Name	Field Value
CLIA Number	33D2202744
LAB Type	Physician Office
Facility Name	ANTHONY J PEPPY DDS & SAMUEL J PEPPY JR DDS PC
Street	1237 NORTH MAIN STREET
City	JAMESTOWN
State	NY
ZIP	14701
Phone	716 664-2335
CertificateType	4
CertificateEffectiveDate	12/1/2022
CertificateExpirationDate	11/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024