Provider Demographics
NPI:1821186552
Name:ADORNATO, MICHAEL C SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:C
Last Name:ADORNATO
Suffix:SR
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1 PARIS RD
Mailing Address - Street 2:BUILDING A
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2350
Mailing Address - Country:US
Mailing Address - Phone:315-266-2051
Mailing Address - Fax:
Practice Address - Street 1:1 PARIS RD
Practice Address - Street 2:BUILDING A
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2350
Practice Address - Country:US
Practice Address - Phone:315-266-2051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0459811223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery