C. Donald Addona, DDS
Individual provider Active NPI General Practice Dentistry · Geneva, NY
NPI 1639201478 · NPPES record last updated Mar 27, 2015
Key facts
- NPI
- 1639201478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 026796 (NY)
- Practice address
- 4 White Springs Cir
Geneva, NY 14456-3008 - Phone
- (315) 789-6057
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026796 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 026796 | NY | Yes |
Addresses
Primary practice location
4 White Springs Cir
Geneva, NY 14456-3008
Mailing address
4 White Springs Cir
Geneva, NY 14456-3008
Phone (315) 789-6057
Other providers in Geneva, NY
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- Neelam Agarwal
- Daisy Aguilera
- Shahram Ahari
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- Chibuikem Philip Akamnonu
All providers in Geneva, NY · General Practice Dentistry 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 Mar 27, 2015. 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.