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NPI 1497263685

OrganizationActive

1500 Grant Blvd Dentistry, PLLC

NPI 1497263685 · Dental Clinic/Center · Syracuse, NY

Provider details

NPI number: 1497263685
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Arun Balakumar, Ceo
License: 051141 (NY)

Practice location

1500 Grant Blvd

Syracuse, NY 13208-3014

Phone: (315) 472-3414

Fax: (315) 472-4320

More NY providers

Mailing address

1500 Grant Blvd

Syracuse, NY 13208-3014

Registry dates

Enumerated: 2018-01-22
Last updated: 2018-01-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

1500 Grant Blvd Dentistry, PLLC — NPI 1497263685, Syracuse, NY | NPI Central