Organization
GOUVERNEUR DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT R. DAY DDS (PRESIDENT)
(315) 287-4000
Entity
Organization
Contact information
Practice address
354 E MAIN ST, GOUVERNEUR, NY 13642-1512
(315) 287-4000
(315) 287-4109
Mailing address
354 E MAIN ST, PO BOX 427, GOUVERNEUR, NY 13642-1512
(315) 287-4000
(315) 287-4109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040862
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01134569
—
NY
05
—
02572989
—
NY
Enumeration date
10/24/2005
Last updated
08/22/2020
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