Organization
JAMES F. GLEASON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FRANCIS GLEASON DDS, MS (PRESIDENT)
(585) 216-1025
Entity
Organization
Contact information
Practice address
246 SOUTH AVE, WEBSTER, NY 14580-3534
(585) 216-1025
Mailing address
246 SOUTH AVE, WEBSTER, NY 14580-3534
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0542791
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03109533
—
NY
Enumeration date
08/19/2009
Last updated
08/19/2009
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