Organization
TIOGA COUNTY HEALTH DEPT
Active
Parent organization
TIOGA COUNTY
Other names
Tioga Co SchoolBased Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIOGA COUNTY
Authorized official
MR. DENIS G MCCANN (DIRECTOR OF ADMINISTRATIVE SERVICES)
(607) 687-8604
Entity
Organization
Contact information
Practice address
1062 STATE RTE 38, OWEGO, NY 13827
(607) 687-8600
Mailing address
PO BOX 120, 1062 STATE RTE 38, OWEGO, NY 13827-0120
(607) 687-8600
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
00356294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356294
—
NY
Enumeration date
02/02/2007
Last updated
11/25/2013
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