AQUA DENTAL PC (NPI# 1073785556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073785556 |
| Entity Type | Organization |
| Organization Name | AQUA DENTAL PC |
| Practice Address |
1283 Arsenal St Watertown NY 13601-2252 |
| Practice Telephone | 3157887888 |
| Practice Fax Number | 3157887833 |
| Mailing Telephone | 3157887888 |
| Mailing Fax Number | 3157887833 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | DR. RUBINA KHATOON (OWNER) |
| Authorized Official Telephone | 3157887888 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
052355 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02698960 | 05 | |
| NY | UNITED CONCORDIA | 1772007 | 01 |
| Street Address |
1283 ARSENAL ST |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225075138 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1283 Arsenal St, Unit 5, Watertown, NY 13601-2252 | 2006-05-31 |
| 1821599432 | Matthew J Morgia | Pharmacist | 1283 Arsenal St, Watertown, NY 13601-2252 | 2018-02-28 |
| 1851742324 | Alexandra Grieco | Pharmacist | 1283 Arsenal St, Watertown, NY 13601-2252 | 2016-06-27 |
| 1346418589 | Perry Optical | Eyewear Supplier (Equipment, not the service) | 1283 Arsenal St, Price Chopper Plaza, Watertown, NY 13601-2252 | 2008-02-11 |
| 1891977062 | Robert Schaefer | Pharmacist | 1283 Arsenal St, Watertown, NY 13601-2252 | 2007-11-29 |
| 1629257944 | Heather C Rienbeck | Pharmacist | 1283 Arsenal St, Watertown, NY 13601-2252 | 2007-11-02 |
| 1427061845 | Golub Corporation | Pharmacy | 1283 Arsenal St, Watertown, NY 13601-2252 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| 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 |
|---|---|---|---|---|
| 1154820132 | Winsted Dental Pllc | Dentist | 229 Lewis Avenue South, Watertown, MN 55388 | 2018-02-06 |
| 1851552517 | Natalie Sokoloff | Dentist | 32 Whites Ave, Apt.551, Watertown, MA 02472-4305 | 2008-06-24 |
| 1033385323 | Nawandeep Kalra | Dentist | 19333 Us Route 11, Outer Washington Street, Watertown, NY 13601-5317 | 2008-05-06 |
| 1982817532 | Charles Martin Seitz | Dentist | 1047 Belmont St, Watertown, MA 02472 | 2007-05-08 |
| 1285757658 | Collin C Palmquist | Dentist | 600 4th St Ne Ste 201, Watertown, SD 57201-1898 | 2007-04-09 |
| 1376662239 | Stephen Arthur Ahlgrim | Dentist | 125 Mullin St, Watertown, NY 13601-3615 | 2007-03-29 |
| 1083739783 | Roger L Albertson Dds PC | Dentist | 324 4th St Ne, Watertown, SD 57201 | 2007-03-20 |
| 1407970130 | David C. Riboldazzi | Dentist | 145 Clinton St, Suite 104, Watertown, NY 13601-3621 | 2007-03-19 |
| 1104950336 | Oak Ridge Dental Clinic,sc | Dentist | 101 Oakridge Court, Suite C, Watertown, WI 53094-4100 | 2007-03-16 |
| 1225171994 | Karekine Matossian | Dentist | 222 Waverley Ave, Watertown, MA 02472-3207 | 2007-02-14 |
| Find all providers in WATERTOWN | ||||
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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.