National Provider Identifier

Steven Speroni, DMD

Steven Speroni, DMD is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Penn Yan, NY and a listed phone number of (315) 536-2024.

NPI 1801851597Penn Yan, NYGeneral Practice Dentistry

Profile Overview

NPI
1801851597
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
April 18, 2006
Last Updated
May 09, 2017

Practice Location

  • 160 Maiden Lane
  • Penn Yan, NY 14527-1201

Phone: (315) 536-2024

Mailing Address

  • 14 Maiden Ln
  • PO Box 423
  • Penn Yan, NY 14527-1208

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1801851597
Entity Type
Individual
Last Name
Speroni
First Name
Steven
Name Prefix
Dr.
Credential
DMD
Mailing Street Address
14 Maiden Ln
Mailing Address Line 2
PO Box 423
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-1208
Mailing Country
US
Mailing Phone
(315) 531-9102
Mailing Fax
(315) 531-9103
Practice Street Address
160 Maiden Lane
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-1201
Practice Country
US
Practice Phone
(315) 536-2024
Practice Fax
(315) 536-4005
Enumeration Date
April 18, 2006
Last Updated
May 09, 2017
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
046480 (NY, License), 04403132 (NY)