DR. VIVIAN LETIZIA (NPI# 1407889546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407889546 |
| Entity Type | Individual |
| Full Name | DR. VIVIAN LETIZIA |
| Credential | DDS |
| Practice Address |
2 Maverick Rd Woodstock NY 12498 |
| Practice Telephone | 8456792421 |
| Practice Fax Number | 8456793235 |
| Mailing Telephone | 8456792421 |
| Mailing Fax Number | 8456793235 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
038819 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LICENSE | 038819 | 01 |
| Street Address |
2 MAVERICK RD |
| City | WOODSTOCK |
| State | NY |
| Zip Code | 12498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104073485 | Louise Gibson Dewhirst | Dentist | 2 Maverick Rd, Woodstock, NY 12498-1714 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659822849 | Michael V. Motise-pacier | Nurse Practitioner | 272 Yerry Hill Rd, Woodstock, NY 12498 | 2016-10-22 |
| 1194148510 | Valerie Linet | Social Worker | 15 Pine Grove Street, Woodstock Therapy Center, Woodstock, NY 12498 | 2014-01-22 |
| 1033557640 | Andromeda Raindance | Licensed Practical Nurse | 105 Cottontail Lane, Woodstock, NY 12498 | 2013-06-06 |
| 1508135492 | Marcia Darrelee Panza | Registered Nurse | 8 West Hurley Rjoad, Woodstock, NY 12498 | 2011-12-21 |
| 1992934400 | Donn J. Wiedershine, M.d., P.C. | Family Medicine | 62 Ricks Road, Woodstock, NY 12498 | 2009-07-06 |
| 1689876104 | Nikki Goldbeck | Nutritionist | 2585 Route 212, Woodstock, NY 12498 | 2007-06-05 |
| 1538377122 | Michael Tischler | Dentist | 121 Route 375, Woodstock, NY 12498 | 2007-05-18 |
| 1669576054 | Catskill Mountain Physical Therapy P.C. | Physical Therapist | 319 Maverick Rd, Glenfdord, NY 12498 | 2006-09-07 |
| 1457305088 | Nancy Abrams | Psychologist | 15 Pinegrove Street, Woodstock, NY 12498 | 2006-05-19 |
| 1891765244 | Maverick Family Medical, PC | Family Medicine | 404 Zena Rd, Woodstock, NY 12498 | 2006-01-26 |
| Find all providers in zip 12498 | ||||
| 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 |
|---|---|---|---|---|
| 1780220194 | Georgia Dental Professionals, PC | Dentist | 4355 Towne Lake Pkwy, Woodstock, GA 30189-8150 | 2019-11-20 |
| 1417422007 | Georgia Dental Professionals, PC | Dentist | 6759 Hickory Rd, Woodstock, GA 30188-2019 | 2018-10-10 |
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1578090056 | Woodstock Dentistry, PC | Dentist | 1428 Towne Lake Pkwy Ste 99, Woodstock, GA 30189-8265 | 2017-05-16 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1972985794 | David Haithcock | Dentist | 6304 Old Highway 5 Ste 100, Woodstock, GA 30188-2500 | 2015-06-29 |
| 1336552173 | Robert Clayton Cannon | Dentist | 8950 Main Street, Suite 120, Woodstock, GA 30188 | 2014-06-10 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1942557004 | Sang-do David Lee | Dentist | 651 S. Eastwood Dr., Woodstock, IL 60098 | 2012-08-08 |
| Find all providers in WOODSTOCK | ||||
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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.