Provider Demographics
NPI:1811080831
Name:JOSEPH F FINELLI, JR., D.D.S. P.C.
Entity type:Organization
Organization Name:JOSEPH F FINELLI, JR., D.D.S. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:FINELLI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:315-487-2668
Mailing Address - Street 1:5109 W GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-2352
Mailing Address - Country:US
Mailing Address - Phone:315-487-2668
Mailing Address - Fax:315-487-8661
Practice Address - Street 1:5109 W GENESEE ST
Practice Address - Street 2:
Practice Address - City:CAMILLUS
Practice Address - State:NY
Practice Address - Zip Code:13031-2352
Practice Address - Country:US
Practice Address - Phone:315-487-2668
Practice Address - Fax:315-487-8661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTID #