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Organization
STEPHEN P MOONEY DDS PC
Active
Organization
STEPHEN P MOONEY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PATRICK MOONEY DDS (PRESIDENT)
(315) 331-3552
Entity
Organization
Contact information
Practice address
631 S MAIN ST, NEWARK, NY 14513-1726
(315) 331-3552
(315) 331-1834
Mailing address
631 S MAIN ST, NEWARK, NY 14513-1726
(315) 331-3552
(315) 331-1834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
029881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00446424
—
NY
Enumeration date
08/08/2006
Last updated
08/22/2020
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