Organization
DAVID J. DEXTER, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JUDSON DEXTER O.D. (OWNER)
(315) 343-2020
Entity
Organization
Contact information
Practice address
303 W SENECA ST, OSWEGO, NY 13126-1831
(315) 343-2020
(315) 207-2001
Mailing address
303 W SENECA ST, OSWEGO, NY 13126-1831
(315) 343-2020
(315) 207-2001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3632
NY
152W00000X
Optometrist
6508
NY
152W00000X
Optometrist
TUV007521-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02491014
—
NY
01
—
DF6440
PALMETTO GBA-RR MC
NY
Enumeration date
12/21/2006
Last updated
09/06/2023
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