National Provider Identifier

Paul Blain Hart, DDS

Paul Blain Hart, DDS is listed in the NPPES registry with a primary specialty of Dentist in Ithaca, NY and a listed phone number of (607) 277-6714.

NPI 1417151150Ithaca, NYDentist

Profile Overview

NPI
1417151150
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
June 14, 2007
Last Updated
July 08, 2007

Practice Location

  • 324 Dryden RD
  • Ithaca, NY 14850-4726

Phone: (607) 277-6714

Specialties

  • Dentist (122300000X)
Full Record
NPI
1417151150
Entity Type
Individual
Last Name
Hart
First Name
Paul
Middle Name
Blain
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
324 Dryden RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-4726
Mailing Country
US
Practice Street Address
324 Dryden RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4726
Practice Country
US
Practice Phone
(607) 277-6714
Practice Fax
(607) 272-7969
Enumeration Date
June 14, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)