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CHEMUNG DENTAL HEALTH P.C. NPI 1013188788


NPI Information

NPI: 1013188788
Provider Name: CHEMUNG DENTAL HEALTH P.C.
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
170 MILLER ST
HORSEHEADS, NY
ZIP 14845
Phone: (607) 795-5000
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CHEMUNG DENTAL HEALTH P.C. is a point of service in Horseheads, NY. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CHEMUNG DENTAL HEALTH P.C. NPI is 1013188788. The provider is registered as an organization entity type.

The provider's business location address is:

170 MILLER ST
HORSEHEADS, NY
ZIP 14845-844
Phone: (607) 795-5000
Fax: (607) 739-3166

The provider's authorized official is Jeffrey B Friedland .
The authorized official title is Owner and has the following contact phone number (607) 795-5000.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 3/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service0328951NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102278540MEDICAIDNEW YORK
200306712MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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