Provider Demographics
NPI:1760569867
Name:THE DENTAL ARTS OFFICE
Entity Type:Organization
Organization Name:THE DENTAL ARTS OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GIOVANNONE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:315-797-2555
Mailing Address - Street 1:286 GENESEE ST
Mailing Address - Street 2:THE DENTAL ARTS OFFICE
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-4639
Mailing Address - Country:US
Mailing Address - Phone:315-797-2555
Mailing Address - Fax:315-797-9345
Practice Address - Street 1:286 GENESEE ST
Practice Address - Street 2:THE DENTAL ARTS OFFICE
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-4639
Practice Address - Country:US
Practice Address - Phone:315-797-2555
Practice Address - Fax:315-797-9345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0385601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty