Provider Demographics
NPI:1497869846
Name:MICHAEL V. CONTE DDS, PC
Entity Type:Organization
Organization Name:MICHAEL V. CONTE DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:V
Authorized Official - Last Name:CONTE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-472-8064
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:GLENMONT
Mailing Address - State:NY
Mailing Address - Zip Code:12077-0127
Mailing Address - Country:US
Mailing Address - Phone:518-472-8064
Mailing Address - Fax:518-449-0762
Practice Address - Street 1:336 GLENMONT RD.
Practice Address - Street 2:
Practice Address - City:GLENMONT
Practice Address - State:NY
Practice Address - Zip Code:12077
Practice Address - Country:US
Practice Address - Phone:518-472-8064
Practice Address - Fax:518-449-0762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038731-1261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental