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Organization

TERRANCE J. O'KEEFE DDS LLC

Active
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Organization

TERRANCE J. O'KEEFE DDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRANCE J O'KEEFE DDS (OWNER)
(585) 377-1670
Entity
Organization

Contact information

Practice address
21 WILLOW POND WAY, SUITE 203, PENFIELD, NY 14526-2687
(585) 377-1670
(585) 377-1724
Mailing address
21 WILLOW POND WAY, SUITE 203, PENFIELD, NY 14526-2687
(585) 377-1670
(585) 377-1724

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040691
NY
1223G0001X
General Practice Dentistry
053057-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70656MA
EXCELLUS BLUE CROSS BLUE
NY
01
70657TO
EXCELLUS BLUE CROSS BLUE
NY
Enumeration date
01/31/2007
Last updated
08/22/2020
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