ADVANCED DENTAL ANESTHESIA SERVICES (NPI# 1023479359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023479359 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL ANESTHESIA SERVICES |
| Practice Address |
111 Route 303 Suite 220 Tappan NY 10983-2133 |
| Mailing Address |
48 Bi State Plz # 268 Old Tappan NJ 07675-7003 |
| Practice Telephone | 8458482255 |
| Mailing Telephone | 2016607464 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |
| Authorized Official Name | ROSALIE MENDIA (OFFICE MANAGER) |
| Authorized Official Telephone | 2016607464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
D102532800 | NJ | Dental Providers |
| Street Address |
111 ROUTE 303 SUITE 220 |
| City | TAPPAN |
| State | NY |
| Zip Code | 10983-2133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588994198 | Rockland Family Dentist | Dentist | 111 Route 303, Suite 99, Tappan, NY 10983-2133 | 2010-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592373 | Ci Aronson Dds PC | Dentist | 93 Route 303, Tappan, NY 10983 | 2020-09-10 |
| 1619322583 | Ironda Lynce | Specialist | 365 Washington St, Tappan, NY 10983 | 2016-04-28 |
| 1396142212 | Jessie Kivlehan | Community/Behavioral Health | 4 Princeton Dr, Tappan, NY 10983 | 2014-11-20 |
| 1104256007 | Thomas Colgan | Psychologist | 140 Lester Drive, Tappan, NY 10983 | 2013-11-14 |
| 1457796013 | Marvin Shapiro | Neuromusculoskeletal Medicine & OMM | 82 Hickory Hill Lane, Tappan, NY 10983 | 2013-05-08 |
| 1306181011 | Kristen Marie Quigley | Registered Nurse | 111 Brian Beth Pl, Tappan, NY 10983 | 2012-12-06 |
| 1922398056 | Lenora S Mesibov | Lactation Consultant, Non-RN | 168 Washington St., Tappan, NY 10983 | 2011-04-11 |
| 1326271974 | Children First Speech Language Pathology and Psychology Pllc | Behavioral Analyst | 14 Conklin Avenue, Tappan, NY 10983 | 2009-08-31 |
| 1871718106 | Lita Mustacchi | Social Worker | 91 Brianbeth Place, Tappan, NY 10983 | 2007-04-13 |
| 1952333619 | Thomas J Kilgannon IIi Dds PC | Dentist | 165 Washington Street, Tappan, NY 10983 | 2006-07-06 |
| Find all providers in zip 10983 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299798 | Battery Park Pediatric Dentistry Pllc | Dentist | 200 E 36th St Ste Ps1, New York, NY 10016-3667 | 2019-11-11 |
| 1437509841 | Dental Anesthesia of New York, LLC | Dentist | 410 W 53rd St Apt 126, New York, NY 10019-5693 | 2016-06-16 |
| 1801139662 | Brandon Michael Fitzgerald | Dentist | 625 W 57th St, Apt 463, New York, NY 10019-2937 | 2013-03-30 |
| 1902119001 | Mana Saraghi | Dentist | 7 Woodfern Ct, Dix Hills, NY 11746 | 2010-07-17 |
| 1750414744 | Ralph Harris Epstein | Dentist | 173 East Shore Road, Suite 201, Great Neck, NY 11023 | 2007-03-13 |
| 1538667548 | Touro College | Dentist | 19 Skyline Dr, Hawthorne, NY 10532-2134 | 2018-01-24 |
| 1457869224 | Ticonderoga Dental Plaza, PC | Dentist | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2018-01-16 |
| 1992232441 | Nicholas S Katchen Dds PC | Dentist | 155 E Main St, Port Jervis, NY 12771-2113 | 2017-05-16 |
| 1366891053 | Ari Gitlin Dds PC | Dentist | 99 Hicksville Rd, Bethpage, NY 11714-3445 | 2016-06-03 |
| 1780043059 | Danielle Culpepper | Dentist | 150 55th St, Brooklyn, NY 11220-2508 | 2016-02-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.