Organization
ADIRONDACK FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERETT M STALKER DDS (OWNER VICE PRESIDENT)
(315) 896-7293
Entity
Organization
Contact information
Practice address
7990 STATE RTE 12, SUITE 1, BARNEVELD, NY 13304
(315) 896-7293
(315) 896-7294
Mailing address
7990 STATE RTE 12, SUITE 1, BARNEVELD, NY 13304
(315) 896-7293
(315) 896-7294
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0474861
NY
1223G0001X
General Practice Dentistry
0474871
NY
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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