Individual
DR. DAVID JUDSON DEXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
120 E 1ST ST STE 1, OSWEGO, NY 13126-2045
(315) 343-2020
(315) 207-2001
Mailing address
120 E 1ST ST STE 1, OSWEGO, NY 13126-2114
(315) 343-2020
(315) 207-2001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3632
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00578881
—
NY
01
—
410047858
PALMETTO GBA-RR MC
NY
01
—
580001049
PALMETTO GBA-RR MC
NY
Enumeration date
09/28/2006
Last updated
12/09/2019
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