Organization
DENTAL SERVICES OF TROY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRMAL K JAIN DDS (PRESIDENT)
(518) 273-2592
Entity
Organization
Contact information
Practice address
42 4TH ST, TROY, NY 12180-3203
(518) 273-2592
Mailing address
42 4TH ST, TROY, NY 12180-3203
(518) 273-2592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00724630
—
NY
Enumeration date
02/12/2007
Last updated
08/22/2020
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