Provider Demographics
NPI:1922191873
Name:BYRNE, ALLYSON M (DMD)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:M
Last Name:BYRNE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 SPRING ST
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-3227
Mailing Address - Country:US
Mailing Address - Phone:518-226-0504
Mailing Address - Fax:518-226-0544
Practice Address - Street 1:53 SPRING ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-3227
Practice Address - Country:US
Practice Address - Phone:518-226-0504
Practice Address - Fax:518-226-0544
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052398-11223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics