# ELLINWOOD DENTAL PLLC

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

## Provider details

- **NPI number:** 1730579566
- **Authorized official:** DR. ZINA A. BERRY (50 PERCENT OWNER/ DENTIST)
- **Authorized official phone:** (315) 316-0073

## Contact information

- **Practice address:** 2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1102
- **Practice address phone:** (315) 316-0073
- **Practice address fax:** (315) 507-2406
- **Mailing address:** 2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1102
- **Mailing address phone:** (315) 316-0073
- **Mailing address fax:** (315) 507-2406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 047689 | NY | Yes |
| 261QD0000X | Dental Clinic/Center | 051526 | NY | — |

## Other

- **Enumeration date:** 02/02/2015
- **Last updated:** 02/02/2015