National Provider Identifier

Marc Purdy, D.D.S.

Marc Purdy, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Ithaca, NY and a listed phone number of (607) 272-2040.

NPI 1922182005Ithaca, NYGeneral Practice Dentistry

Profile Overview

NPI
1922182005
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
October 25, 2006
Last Updated
July 08, 2007

Practice Location

  • 1018 Ellis Hollow RD
  • Suite A
  • Ithaca, NY 14850-2808

Phone: (607) 272-2040

Mailing Address

  • 18 Grandview Dr
  • Ithaca, NY 14850-9751

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1922182005
Entity Type
Individual
Last Name
Purdy
First Name
Marc
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
18 Grandview Dr
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9751
Mailing Country
US
Mailing Phone
(607) 266-9714
Mailing Fax
(607) 272-7516
Practice Street Address
1018 Ellis Hollow RD
Practice Address Line 2
Suite A
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-2808
Practice Country
US
Practice Phone
(607) 272-2040
Practice Fax
(607) 272-7516
Enumeration Date
October 25, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)