TICONDEROGA DENTAL PLAZA, PC is a dentist anesthesiologist dentist in Ticonderoga, NY. The provider is 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. TICONDEROGA DENTAL PLAZA, PC NPI is 1457869224. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1019 WICKER ST
TICONDEROGA, NY
ZIP 12883-039
Phone: (518) 825-0025
The provider's authorized official is Morris E Feinberg .
The authorized official title is Dentist / Owner and has the following contact phone number (518) 825-0025.
The CLIA number assigned to this NPI record is 33D2192451 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 1/16/2018 and was last updated on 6/20/2018.