Family Dentistry PC

NPI #1215920632 in Granville, New York

Provider Information

NPI Number: 1215920632
Entity Type: Organization
Organization Name: Family Dentistry PC
Primary Specialty: Dentist
Enumeration Date: Aug 31, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 89 NORTH ST
City: Granville
State: New York
ZIP Code: 12832-1138
Phone: (518) 642-2111

Authorized Official

Name: DR. JENNIFER R KELLEY, DDS
Title: DENTIST
Phone: (518) 642-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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