Individual
DR. BRADLEY DREW SAISSELIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12 NEW STREET, OSWEGO, NY 13126
(315) 342-5800
(315) 342-2014
Mailing address
4 LYNIAN WAY, OSWEGO, NY 13126
(315) 343-5310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35758
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00652933
—
NY
Enumeration date
12/16/2005
Last updated
03/07/2023
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