Camesano, Theodore Michael

Camesano, Theodore Michael is an sole proprietor health care provider with primary practice located at 8 Business Park Ct , Utica NY 13502-6308. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Camesano, Theodore Michael can be contacted via phone (315) 732-6719.

Contact Information

Primary practice address
8 Business Park Ct Utica NY 13502-6308
Fax: (315) 738-7140
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 030638 New York

Profile Details

NPI number 1467574178
LBN Legal business name Camesano, Theodore Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467574178 NPPES
New York MEDICAID 00596561

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