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
Phone: (315) 732-6719
Fax: (315) 738-7140
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467574178 | NPPES |
| New York | MEDICAID | 00596561 |
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