CMP DENTAL ARTS PLLC (NPI# 1205496965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205496965 |
| Entity Type | Organization |
| Organization Name | CMP DENTAL ARTS PLLC |
| Practice Address |
7197 Highbridge Rd Fayetteville NY 13066-9784 |
| Practice Telephone | 3156377684 |
| Mailing Telephone | 3156377684 |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2019-06-15 |
| Authorized Official Name | DR. CHRIS M POULOS (MANAGER) |
| Authorized Official Telephone | 3156377684 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1972714376 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CMP DENTAL ARTS PLLC | 247 W. Fayette Street, Suite 203, Syracuse, Ny 13202 |
| Street Address |
7197 HIGHBRIDGE RD |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-9784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699964205 | Stephen Jay Rothenberg | Dentist | 7197 Highbridge Rd, Fayetteville, NY 13066-9784 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| 1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
| 1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
| 1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| Find all providers in zip 13066 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437615408 | Dr Cameron and Associates Iv | Clinic/Center | 2301 Robeson St Ste 302, Fayetteville, NC 28305-5641 | 2019-02-14 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1306329867 | James E Rice, Dds Pa | Clinic/Center | 3622 Morganton Rd, Fayetteville, NC 28303-4967 | 2018-09-11 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1639568777 | Hollis L Jones Dds, Pllc | Clinic/Center | 1782 Metromedical Dr, Fayetteville, NC 28304-3861 | 2015-01-13 |
| 1366856262 | Dr Cameron and Associates IIi, Pllc | Clinic/Center | 300 Glensford Drive, Fayetteville, NC 28314 | 2014-06-18 |
| 1053618801 | B.g.harrison D.d.s. and Associates, P.a. | Clinic/Center | 1408 Skibo Rd., Fayetteville, NC 28303 | 2011-02-14 |
| 1104155506 | Patrice A. Barber, Dds & Associates, Pa | Clinic/Center | 5428 Yadkin Rd, Fayetteville, NC 28303-3199 | 2009-12-14 |
| 1508471046 | Fayetteville Smiles Dentistry | Clinic/Center | 6962 Highbridge Rd, Fayetteville, NY 13066-9705 | 2020-09-11 |
| 1295373322 | Sequoyah Dental, Pllc | Clinic/Center | 2827 E Millennium Pl Ste 3, Fayetteville, AR 72703-6528 | 2019-12-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
Please comment or provide details below to improve the information on CMP DENTAL ARTS PLLC.
| 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.