Mary Bice, DENTALASSISTANT EFDA
Individual provider Active NPI Dental Assistant · Fort Drum, NY
NPI 1033568720 · NPPES record last updated Jun 3, 2016
Key facts
- NPI
- 1033568720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- Practice address
- 10590 Enduring Freedom Dr
Fort Drum, NY 13602-5005 - Phone
- (315) 772-6234
- NPI assigned
- Jun 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Yes |
Addresses
Primary practice location
10590 Enduring Freedom Dr
Fort Drum, NY 13602-5005
Mailing address
10590 Enduring Freedom Dr
Fort Drum, NY 13602-5005
Phone (315) 772-6234
Other providers in Fort Drum, NY
- Dianna L Bennett
- Jamie Michael Bennett
- Kayla Christine Bentz
- Erhard Alfred Beuttenmuller
- Sumon Bhattacharyya
- Randall Alan Bischoff
- Kabita Bista
- Robert Garfield Blackstock
- Richard C. Blunden
- Bobbi Petranchuk
All providers in Fort Drum, NY · Dental Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.