Individual
JEROME BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2060 FAIRPORT NINE MILE PT RD, PENFIELD, NY 14526-1749
(585) 377-5810
(585) 377-1121
Mailing address
2060 FAIRPORT NINE MILE PT RD, PENFIELD, NY 14526-1749
(585) 377-5810
(585) 377-1121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
031419
NY
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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