NEW COUNTRY DENTAL GROUP (NPI# 1043334352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043334352 |
| Entity Type | Organization |
| Organization Name | NEW COUNTRY DENTAL GROUP |
| Practice Address |
2806 Court St Syracuse NY 13208-3248 |
| Practice Telephone | 3154557079 |
| Practice Fax Number | 3154549187 |
| Mailing Telephone | 3154557079 |
| Mailing Fax Number | 3154549187 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | DR. MICHAEL EDWARD DAMIANO (SECRETARY) |
| Authorized Official Telephone | 3154557079 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
040344 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669500112 | New Country Dental Group | Dentist | 5972 Route 31, Cicero, NY 13039 | 2007-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NEW COUNTRY DENTAL GROUP, P.C. | 5972 Route 31, Cicero, Ny 13039 |
| Street Address |
2806 COURT ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13208-3248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740736040 | M&a Mobilityllc | Non-emergency Medical Transport (VAN) | 1611 Lodi St, Syracuse, NY 13208 | 2016-08-28 |
| 1053655472 | Navid Rashidi Keikanloo | Dentist | 2800 Court St, Syracuse, NY 13208 | 2012-11-26 |
| 1801163399 | Kathleen Ann Troicke | Registered Nurse | 923 North Mcbride Street, Cathedral Academy At Pompei School, Syracuse, NY 13208 | 2011-11-28 |
| 1194016469 | Sharon Walsh Costello | Registered Nurse | 110 Second North Street, Apt 17, Syracuse, NY 13208 | 2011-04-21 |
| 1396058749 | Rebecca Lynn Martin | Licensed Practical Nurse | 102 Hamden Drive, Syracuse, NY 13208 | 2010-07-14 |
| 1730358045 | Tiffany Mckinney | Technician/Technologist | 2901 Court Street, Eyecare of Cny, Syracuse, NY 13208 | 2008-02-21 |
| 1871794594 | Edward Louis Defuria | Dentist | 2800 Court Street, Syracuse, NY 13208 | 2007-05-30 |
| 1912092354 | Karen Ev Fallon | Physical Therapist | 1603 Court Street, Syracuse, NY 13208 | 2006-10-03 |
| 1245346147 | Christian Haglund Woodhead | Dentist | 801 N. Salina St., Syracuse, NY 13208 | 2006-08-22 |
| 1619994167 | Judith Ann Falk | Social Worker | 1118 Court St, Syracuse, NY 13208 | 2006-07-17 |
| Find all providers in zip 13208 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588211262 | Gerald F. Danaher Dds | Dentist | 5298 Terry Rd, Syracuse, NY 13219-3066 | 2019-08-19 |
| 1134501356 | Gideon Ochiabuto Dentistry PC | Dentist | 521 E Washington St, Syracuse, NY 13202-1917 | 2015-06-24 |
| 1275891731 | Jeffrey Val Hansen | Dentist | 1747 Heritage Ln Ste B203, Syracuse, UT 84075-8532 | 2012-05-02 |
| 1881975464 | Norman Kent Sharp II | Dentist | 1662 S 2000 W Ste A1, Syracuse, UT 84075 | 2011-09-08 |
| 1982922092 | Chung-lei Kao | Dentist | 910 Erie Blvd E., Syracuse, NY 13210 | 2010-05-13 |
| 1447412705 | Randall Steven Cory | Dentist | 801 N Huntington St, Suite 11, Syracuse, IN 46567-1151 | 2008-06-27 |
| 1316113681 | Mireille Cruz | Dentist | 5217 S Salina St, Syracuse, NY 13205-3019 | 2008-05-06 |
| 1245444025 | Thomas Anthony Osinski | Dentist | 201 Cumberland Pl, Syracuse, NY 13210-3154 | 2007-05-10 |
| 1043331549 | Joan Lura Armstrong | Dentist | 437 Allen St, Syracuse, NY 13210-2201 | 2007-04-02 |
| 1063532554 | Michael Burke Mcgrath | Dentist | 5108 Velasko Rd, Syracuse, NY 13215-1953 | 2007-03-30 |
| Find all providers in SYRACUSE | ||||
Please comment or provide details below to improve the information on NEW COUNTRY DENTAL GROUP.
| 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.