# JOHN M. FOX D.D.S.

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

## Provider details

- **NPI number:** 1417316985
- **Authorized official:** MR. JOHN MICHAEL FOX D.D.S, (OWNER)
- **Authorized official phone:** (518) 725-4216

## Contact information

- **Practice address:** 101 EAST STATE STREET, GLOVERSVILLE, NY 12078
- **Practice address phone:** (518) 725-4216
- **Practice address fax:** (518) 725-7272
- **Mailing address:** 101 EAST STATE STREET, GLOVERSVILLE, NY 12078
- **Mailing address phone:** (518) 725-4216
- **Mailing address fax:** (518) 725-7272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 057295 | NY | Yes |

## Other

- **Enumeration date:** 02/12/2016
- **Last updated:** 02/12/2016
