RENAISSANCE DENTAL PC


Address: 4 Normanskill Blvd, Delmar, NY 12054-1335
Phone: 5182614800

RENAISSANCE DENTAL PC (NPI# 1457729337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457729337
Entity Type Organization
Organization Name RENAISSANCE DENTAL PC
Other Organization Name ALBANY COUNTY DENTAL ASSOCIATES
Practice Address 4 Normanskill Blvd
Delmar
NY 12054-1335
Practice Telephone 5182614800
Mailing Telephone 5182614800
Enumeration Date 2015-09-09
Last Update Date 2016-09-22
Authorized Official Name DR. MARINA SHRAGA (PRESIDENT)
Authorized Official Telephone 5182614800
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
052174 NY Dental Providers
Y 122300000X Dentist 052174 NY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02721117 05

Other Provider/Organization Names

Other Name Type Code
Albany County Dental Associates Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205030277 Renaissance Dental PC Dentist 7330 W Warren Ave, Detroit, MI 48210-1041 2007-06-13

Office Location

Street Address 4 NORMANSKILL BLVD
City DELMAR
State NY
Zip Code 12054-1335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598757544 Megan Mccabe Nurse Practitioner 4 Normanskill Blvd, Delmar, NY 12054-1335 2005-08-16
1285179663 Savino Chiropractic Pllc Chiropractor 4 Normanskill Blvd, Suite 404, Delmar, NY 12054-1335 2016-12-21
1497168017 Gina Marie Ciarmiello Optometrist 4 Normanskill Blvd, Suite 400, Delmar, NY 12054-1335 2014-06-11
1528303534 Gladys A Brusa Counselor 4 Normanskill Blvd, Delmar, NY 12054-1335 2012-12-02
1831420934 Alicia Renee Savino Chiropractor 4 Normanskill Blvd, Ste 404, Delmar, NY 12054-1335 2010-01-29
1689833212 Melissa J Veino Pediatrics 4 Normanskill Blvd, Delmar, NY 12054-1335 2008-06-09
1013187178 Jack Devore, Od Eyewear Supplier (Equipment, not the service) 4 Normanskill Blvd, Delmar, NY 12054-1335 2008-03-05
1215159496 Nancy Noble Gardner Social Worker 4 Normanskill Blvd, Delmar, NY 12054-1335 2007-05-03
1578783205 Prime Care Physicians, P.l.l.c. Nurse Practitioner 4 Normanskill Blvd, Delmar, NY 12054-1335 2007-04-26
1528101409 Capital Area Hudson Valley Ny Dental, PC Dentist 4 Normanskill Blvd, Delmar, NY 12054-1335 2007-02-14
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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
1356765309 Patrick Chapin Gardocki Dentist 74 Delaware Ave, Delmar, NY 12054-1548 2014-02-11
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

Providers in the same taxonomy and state

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
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Competitor

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City DELMAR
Zip Code 12054

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Dataset Information

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.

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