Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SILVER LAKE DENTAL PLLC
Active
Organization
SILVER LAKE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J DERUYTER DDS (MEMBER)
(315) 573-5031
Entity
Organization
Contact information
Practice address
114 N CENTER ST, PERRY, NY 14530-9701
(585) 237-3530
(585) 237-6651
Mailing address
114 N CENTER ST, PERRY, NY 14530-9701
(585) 237-3530
(585) 237-6651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055321
NY
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up