# CLIFTON SPRINGS SANITARIUM CO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLIFTON SPRINGS SANITARIUM CO
- **Other names:** Clifton Springs Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588260228
- **Legal business name:** CLIFTON SPRINGS SANITARIUM CO
- **Authorized official:** NICHOLE S HOLDER (DIRECTOR - PAYER ENROLLMENT)
- **Authorized official phone:** (585) 922-0293

## Contact information

- **Practice address:** 2 COULTER RD STE 1720, CLIFTON SPRINGS, NY 14432-1122
- **Practice address phone:** (315) 318-0284
- **Mailing address:** 2 COULTER RD STE 1720, CLIFTON SPRINGS, NY 14432-1122
- **Mailing address phone:** (315) 318-0284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2020
- **Last updated:** 12/08/2020