Dr. Jerome Julius Desnyder, DDS
Dentist in Plattsburgh, NY. Individual provider (NPI-1).
NPI number1164557294
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164557294
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerome Julius Desnyder
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 029277 | NY | Yes |
Practice location
8 Healey AvePlattsburgh, NY 12901
Phone 518-561-1170 · Fax 518-324-1170
Mailing address
8 Healey AvePlattsburgh, NY 12901
Phone 518-561-1170 · Fax 518-324-1170
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