VITKUS AND SCUTARI DDS, PC (NPI# 1275618019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275618019 |
| Entity Type | Organization |
| Organization Name | VITKUS AND SCUTARI DDS, PC |
| Practice Address |
516 E Genesee St Fayetteville NY 13066-1537 |
| Practice Telephone | 3156374476 |
| Practice Fax Number | 3156371261 |
| Mailing Telephone | 3156374476 |
| Mailing Fax Number | 3156371261 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PASQUALE SCUTARI JR. (ORAL MAXILLOFACIAL SURGEON) |
| Authorized Official Telephone | 3156374476 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
034071-1 | NY | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
045842-1 | NY | Dental Providers |
| Street Address |
516 E GENESEE ST |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043584196 | Jeffrey A. Meltzer, D.m.d.,p.c. | Dentist | 516 E Genesee St, Fayetteville, NY 13066-1537 | 2012-03-06 |
| 1275629743 | Robert J Vitkus | Dentist | 516 E Genesee St, Fayetteville, NY 13066-1537 | 2006-10-04 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689031023 | Thomas A. Sarna Dds,pllc | Dentist | 3533 North Shiloh Drive Suite 3, Fayetteville, AR 72703 | 2016-01-15 |
| 1518232727 | Matthew Mcshane | Dentist | 163 Van Ashe Loop, Fayetteville, AR 72703 | 2012-03-21 |
| 1326345323 | Patton Mark Minkin | Dentist | 3996 N Frontage Rd, Fayetteville, AR 72703 | 2011-02-28 |
| 1568693877 | Jeffrey E Aycock | Dentist | 1031 Weiss Ave Ste 201, Fayetteville, NC 28305-5630 | 2009-08-04 |
| 1144342007 | Sylvester Own Smith IIi | Dentist | 1417 Fort Bragg Road, Fayetteville, NC 28305-4707 | 2007-04-04 |
| 1881710945 | Joshua Russell Cross | Dentist | 163 W Van Asche Loop, Fayetteville, AR 72703-4974 | 2007-03-21 |
| 1083772438 | Richard Clayton Adams | Dentist | 413 Owens Drive, Suite 102, Fayetteville, NC 28304 | 2006-12-05 |
| 1518037076 | James Buck Hays | Dentist | 2025 N Green Acres Rd, Fayetteville, AR 72703-2619 | 2006-11-09 |
| 1114006020 | Kenneth Ray Collins Jr. | Dentist | 100 Carnegie Pl, Suite 108, Fayetteville, GA 30214-3905 | 2006-11-02 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
Please comment or provide details below to improve the information on VITKUS AND SCUTARI DDS, PC.
| 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.