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Robert S Donnelly, DDS

Dentist, General Practice in Cooperstown, NY. Individual provider (NPI-1).

NPI number1952432999
StatusActive
Last updated in NPPESJan 24, 2011

Details

NPI
1952432999
Entity type
Individual (NPI-1)
Name
Mr. Robert S Donnelly
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 9, 2007
Last updated
Jan 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice036977NYYes

Practice location

77 Main St
Cooperstown, NY 13326-1244

Phone 607-547-9331

Mailing address

77 Main St
Cooperstown, NY 13326-1244

Phone 607-547-9331

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