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Organization
THOMAS J. DEGENERO D.D.S.
Active
Organization
THOMAS J. DEGENERO D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J DEGENERO DDS (OWNER)
(518) 674-8500
Entity
Organization
Contact information
Practice address
4482 NY RTE 150, WEST SAND LAKE, NY 12196
(518) 674-8500
(518) 674-8885
Mailing address
PO BOX 367, WEST SAND LAKE, NY 12196-0367
(518) 674-8500
(518) 674-8885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037900-1
NY
Other
Enumeration date
04/02/2007
Last updated
06/08/2010
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