Organization
VALLEY DENTAL PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY W. BIGSBY DMD (DOCTOR)
(607) 754-3903
Entity
Organization
Contact information
Practice address
609 E MAIN ST, ENDICOTT, NY 13760-5036
(607) 754-3903
(607) 748-4181
Mailing address
609 E MAIN ST, ENDICOTT, NY 13760-5036
(607) 754-3903
(607) 748-4181
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02370872
—
NY
Enumeration date
10/20/2005
Last updated
08/22/2020
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