LATHAM PERIODONTICS NPI 1467836874

NPI Information

  • NPI: 1467836874
  • Provider Name: LATHAM PERIODONTICS
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 815 TROY SCHENECTADY RD
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 785-1067

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NPI Details

LATHAM PERIODONTICS is a dental clinic center in Latham, NY. LATHAM PERIODONTICS NPI is 1467836874. The provider is registered as an organization entity type.

The provider's business location address is:

815 TROY SCHENECTADY RD
LATHAM, NY
ZIP 12110-445
Phone: (518) 785-1067
Fax: (518) 782-9309

The provider's authorized official is Jang Choi .
The authorized official title is Dentist and has the following contact phone number (518) 785-1067.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 7/15/2015.

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
1261QD0000XClinic/CenterDental051459NEW YORKYes

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: 3/30/2025

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