# SOUTHERN TIER FAMILY DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154712677
- **Authorized official:** DR. JAMES HARRIS MITCHENER DDS (PRESIDENT)
- **Authorized official phone:** (716) 665-9484

## Contact information

- **Practice address:** 230 E MAIN ST, FALCONER, NY 14733-1318
- **Practice address phone:** (716) 665-9484
- **Mailing address:** 230 E MAIN ST, FALCONER, NY 14733-1318
- **Mailing address phone:** (716) 665-9484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 054513 | NY | Yes |

## Other

- **Enumeration date:** 02/06/2015
- **Last updated:** 02/06/2015
