Chittenango Dental
Organization Active NPI Dentist · Chittenango, NY
NPI 1932279932 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1932279932
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 049988 (NY)
- Legal business name
- CHITTENANGO DENTAL
- Practice address
- 153 West Genesee Street
Chittenango, NY 13037 - Phone
- (315) 687-3386
- Fax
- (315) 687-3387
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Shamus L Loftus, DDS
- Title
- Dentist President
- Phone
- (315) 687-3386
National Provider Directory
Locations
153 W Genesee St
Chittenango, NY 13037
Phone (315) 687-3386
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 049988 | NY | Yes |
Addresses
Primary practice location
153 West Genesee Street
Chittenango, NY 13037
Mailing address
153 West Genesee Street
Chittenango, NY 13037
Phone (315) 687-3386
Other names
- Shamus Loftus DDS PC
Other providers in Chittenango, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.