Provider Demographics
NPI:1417069055
Name:TRUE NORTH DENTAL, PLLC
Entity Type:Organization
Organization Name:TRUE NORTH DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:T
Authorized Official - Last Name:GERNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-563-7620
Mailing Address - Street 1:91 HAMMOND LN
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2000
Mailing Address - Country:US
Mailing Address - Phone:518-563-7620
Mailing Address - Fax:518-563-9151
Practice Address - Street 1:91 HAMMOND LN
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2000
Practice Address - Country:US
Practice Address - Phone:518-563-7620
Practice Address - Fax:518-563-9151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty