Provider Demographics
NPI:1790029569
Name:PLATTSBURGH DENTAL PLAZA, P.C.
Entity type:Organization
Organization Name:PLATTSBURGH DENTAL PLAZA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:518-825-0025
Mailing Address - Street 1:304 W BAY PLZ
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-1787
Mailing Address - Country:US
Mailing Address - Phone:518-825-0025
Mailing Address - Fax:518-825-0029
Practice Address - Street 1:304 W BAY PLZ
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1787
Practice Address - Country:US
Practice Address - Phone:518-825-0025
Practice Address - Fax:518-825-0029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental