Individual
BRET D. GELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MD
Contact information
Practice address
1070 NOTT ST, SCHENECTADY, NY 12308-2410
(518) 374-9109
(518) 374-1978
Mailing address
1070 NOTT ST, SCHENECTADY, NY 12308-2410
(518) 374-9109
(518) 374-1978
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
047593
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02624431
—
NY
01
—
1007-4714
CDPHP
NY
01
—
9175734
DORAL DENTAL
NY
Enumeration date
05/22/2006
Last updated
07/08/2007
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