Organization
ALTAMONT GENERAL DENTISTRY
Active
Other names
Dr. Stuart Fass and Dr. Adam Edwards
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY MAISCH (DIRECTOR OF OPERATIONS)
(845) 853-8325
Entity
Organization
Contact information
Practice address
103 MAIN ST, ALTAMONT, NY 12009-6234
(518) 861-5136
Mailing address
103 MAIN ST, ALTAMONT, NY 12009-6234
(518) 861-5136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285768788
NPI
NY
Enumeration date
03/25/2022
Last updated
03/25/2022
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