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Organization
MCCUE DENTAL FULTON PC
Active
Organization
MCCUE DENTAL FULTON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PATRICK MCCUE IV D.D.S (GENERAL DENTIST)
(315) 779-2222
Entity
Organization
Contact information
Practice address
41 S 2ND ST, FULTON, NY 13069-1724
(315) 779-2222
Mailing address
41 S 2ND ST, FULTON, NY 13069-1724
(315) 779-2222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053972
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03085949
—
NY
Enumeration date
02/02/2017
Last updated
02/02/2017
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