Pediatric Dentistry & Interceptive Orthodontics P.c.
NPI #1346300209 in Fayetteville, New York
Provider Information
- NPI Number
- 1346300209
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry & Interceptive Orthodontics P.c.
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 8016 E GENESEE ST
- City
- Fayetteville
- State
- New York
- ZIP Code
- 13066-9692
- Phone
- (315) 637-6961
Authorized Official
- Name
- DR. EDWARD ROBISON, D.D.S.
- Title
- TREASURER
- Phone
- (315) 637-6961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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