PEDIATRIC DENTISTRY (NPI# 1407993611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407993611 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY |
| Practice Address |
88 Broad Street Glens Falls NY 12801 |
| Practice Telephone | 5187989966 |
| Practice Fax Number | 5187980616 |
| Mailing Telephone | 5187989966 |
| Mailing Fax Number | 5187980616 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FARZAD SANI (PARTNER) |
| Authorized Official Telephone | 5187989966 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DORAL DENTAL | 105880 | 01 |
| NY | EXCELLUS | X00129970 | 01 |
| NY | UNITED CONCORDIA | 816446 | 01 |
| NY | CDPHP | Q428 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518527191 | Pediatric Dentistry | Dentist | 45535 Hanford Rd, Canton, MI 48187-4595 | 2019-06-17 |
| 1700184512 | Pediatric Dentistry | Dentist | 100 Springhouse Ct Ste 110, Hendersonville, TN 37075-1610 | 2011-03-02 |
| 1720472707 | Pediatric Dentistry | Dentist | 1318 E Lane St, Laredo, TX 78040-7211 | 2015-03-26 |
| 1629055793 | Pediatric Dentistry | Dentist | 290 Baker Ave, Ste. 228north, Concord, MA 01742-2189 | 2005-12-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PEDIATRIC DENTISTRY AND ORTHODONTICS OF THE NORTH SHORE, LLC | 6 State Rd., Danvers, MA 02193 |
| Virginia Business Entities | Pediatric Dentistry and Orthodontics of Virginia P.C. | 13841 Hull Street Road, Ste 4, Midlothian, Virginia 23112 |
| Connecticut Business Registrations | Pediatric Dentistry and Orthodontics, Pllc | One Lake Street, New Britain, CT 06052 |
| Colorado Business Entities | Pediatric Dentistry of Colorado, Inc. | 39375 Ridge Park Drive, Severance, CO 80610 |
| Iowa Business Entities | PEDIATRIC DENTISTRY OF GREATER DES MOINES, PLLC | 7600 Fleur Drive, Des Moines, IA 50321 |
| Colorado Business Entities | Pediatric Dentistry of Loveland, PLLC | 2800 Madison Square Drive, Suite 1, Loveland, CO 80538 |
| New York State Corporations | PEDIATRIC DENTISTRY OF MELVILLE LLC | 80 Business Park Drive Ste 103, Armonk, Ny 10504 |
| New York State Corporations | PEDIATRIC DENTISTRY OF NASSAU COUNTY PLLC | 300 Garden City Plaza, Suite 214, Garden City, Ny 11530 |
| Indiana Business Entities | PEDIATRIC DENTISTRY OF NORTHWEST INDIANA, P.C. | 2833 Lincoln St, Ste 1, Highland, IN 46322-1924 |
| Oregon Corporations, Companies and Business Names | PEDIATRIC DENTISTRY OF OREGON | 2150 Ne Division St, Ste 201, Gresham, OR 97030 |
| Street Address |
88 BROAD STREET |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497939508 | Farzad Sani, Dds,pc | Dentist | 88 Broad Street, Glens Falls, NY 12801 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073503504 | Farzad Sani | Dentist | 88 Broad St, Glens Falls, NY 12801-4382 | 2005-10-26 |
| 1386132447 | Christopher Dabin Pae | Dentist | 88 Broad St, Glens Falls, NY 12801-4385 | 2018-04-24 |
| 1770921769 | Danny Kang | Dentist | 88 Broad St, Glens Falls, NY 12801-4385 | 2013-06-12 |
| 1497939508 | Farzad Sani, Dds,pc | Dentist | 88 Broad Street, Glens Falls, NY 12801 | 2007-12-26 |
| 1427039312 | James P Mcdonnell | Dentist | 88 Broad St, Glens Falls, NY 12801-4382 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
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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.