Beautiful Smiles Elbridge, LLC
Organization Active NPI General Practice Dentistry · Elbridge, NY
NPI 1740603000 · NPPES record last updated Jan 22, 2014
Key facts
- NPI
- 1740603000
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 038541 (NY)
- Legal business name
- BEAUTIFUL SMILES ELBRIDGE, LLC
- Practice address
- 239 E Main St
Elbridge, NY 13060-8706 - Phone
- (315) 277-5039
- NPI assigned
- Jan 22, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. David Gerard Nangle, DDS
- Title
- Partner/Dentist
- Phone
- (315) 277-5039
National Provider Directory
Locations
239 E Main St
Elbridge, NY 13060
Phone (315) 277-5039
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 038541 | NY | Yes |
Addresses
Primary practice location
239 E Main St
Elbridge, NY 13060-8706
Mailing address
239 E Main St
Elbridge, NY 13060-8706
Phone (315) 277-5039
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00842439 | Medicaid | NY |
Other providers in Elbridge, NY
- Michelle Alcock
- William Scott Allyn
- Anthony M Alphonso
- Lisa Ann Brown
- Erin Calhoun
- Amy E Cole
- Elderchoice Inc.
- Amanda Rose Garcia
All providers in Elbridge, 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 Jan 22, 2014. 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.