Organization
GEORGE P. NAJIM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZAN JEAN SCRIVER (OFFICE MANAGER)
(518) 647-5150
Entity
Organization
Contact information
Practice address
30 N. MAIN STREET, AUSABLE FORKS, NY 12912
(518) 647-5150
(518) 647-8899
Mailing address
30 NORTH MAIN STREET, P O BOX 775, AUSABLE FORKS, NY 12912
(518) 647-5150
(518) 647-8899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26776
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062503
—
NY
01
—
1223G0001X
TAXONOMIES
NY
01
—
1902873029
NPI#
NY
01
—
26776
LICENSE #
NY
01
—
52640431
DENTAL
NY
01
—
AN5177894
DENTAL
NY
Enumeration date
07/06/2007
Last updated
06/12/2008
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