Dr. Jerry Lawrence Statman, DMD
Dentist, General Practice in Rye, NY. Individual provider (NPI-1).
NPI number1407077902
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1407077902
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerry Lawrence Statman
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 040016 | NY | Yes |
Practice location
105-107 Theodore Fremd AvenueRye, NY 10580
Phone 914-967-0707 · Fax 914-967-3411
Mailing address
105-107 Theodore Fremd AvenueRye, NY 10580
Phone 914-967-0707 · Fax 914-967-3411
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All 8 General Practice Dentistry providers in Rye · All 446 providers in Rye
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