DR. PATRICK CHAPIN GARDOCKI (NPI# 1356765309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356765309 |
| Entity Type | Individual |
| Full Name | DR. PATRICK CHAPIN GARDOCKI |
| Credential | D.D.S. |
| Practice Address |
74 Delaware Ave Delmar NY 12054-1548 |
| Practice Telephone | 5184393299 |
| Mailing Telephone | 5184393299 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 50 057148 | NY | Dental Providers |
| Street Address |
74 DELAWARE AVE |
| City | DELMAR |
| State | NY |
| Zip Code | 12054-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588755789 | Joseph Sung-hwan So | Dentist | 74 Delaware Ave, Delmar, NY 12054-1548 | 2006-09-27 |
| 1932581501 | Phoebe Nguyen-hageman | Dentist | 74 Delaware Ave, Delmar, NY 12054 | 2015-06-19 |
| 1740542927 | Ifraj Fuad Hafidh | Dentist | 74 Delaware Ave, Delmar, NY 12054-1548 | 2012-06-13 |
| 1235274325 | Virginia A Plaisted | Dentist | 74 Delaware Ave, Delmar, NY 12054-1537 | 2007-02-20 |
| 1770628877 | Stanley J Lis | Dentist | 74 Delaware Ave, Delmar, NY 12054-1537 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1457825804 | Sharmon Michele Valerian | Physical Therapist | 241 Westchester Dr S, Delmar, NY 12054 | 2019-01-18 |
| 1821519935 | Jody Gail Ference | Occupational Therapist | 700 Delaware Ave., Bethlehem Central School District, Delmar, NY 12054 | 2017-06-28 |
| 1437688181 | Lullaby Lactation | Registered Nurse | 47 Crystal Lane, Delmar, NY 12054 | 2017-06-07 |
| 1306380852 | Katherine Mcguinness | Social Worker | 10 Hallwood Rd Ste D, Delmar, NY 12054 | 2016-12-16 |
| 1427465731 | Judy Marie Wilday | Registered Nurse | 30 Hunter Road, Delmar, NY 12054 | 2014-07-18 |
| 1063772226 | Fabiola Allisson Estrada | Physician Assistant | 99 Delaware Ave # Mc133, Delmar, NY 12054 | 2012-05-22 |
| 1366765075 | Carmen Lewis Panetta Jr. | Pharmacist | 293 Elm Aveune, Delmar, NY 12054 | 2010-03-09 |
| 1164669990 | Caroline Macrae | Speech-Language Pathologist | 16 Axbridge Lane, Delmar, NY 12054 | 2009-01-15 |
| 1316155336 | Sailaja Alapati | Anesthesiology | 18 Salem Road, Delmay, NY 12054 | 2007-05-21 |
| Find all providers in zip 12054 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710091871 | Delmar Dental PC | Dentist | 344 Delaware Ave, Delmar, NY 12054 | 2006-08-18 |
| 1932581501 | Phoebe Nguyen-hageman | Dentist | 74 Delaware Ave, Delmar, NY 12054 | 2015-06-19 |
| 1851504617 | Thomas H Abele | Dentist | 344 Delaware Ave, Delmar, NY 12054 | 2007-05-08 |
| 1316054406 | Jeffrey Alan Marfurt | Dentist | 785 Delaware Ave, Delmar, NY 12054 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1336749530 | Suffolk Dental Care, PC | Dentist | 3650 Route 112 Ste 105, Coram, NY 11727-4131 | 2020-10-27 |
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1316553613 | Hihland Falls Dental Associate | Dentist | 70 Villa Pkwy, Highland Falls, NY 10928-1615 | 2020-09-22 |
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1255945945 | Derek Lin | Dentist | 10750 Queens Blvd Ste 2, Forest Hills, NY 11375-4266 | 2020-09-01 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1194334607 | Asnis Dental Pllc | Dentist | 112 Alexander Ave Unit A, Lake Grove, NY 11755-0429 | 2020-07-30 |
| 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.