NEW COUNTRY DENTAL GROUP (NPI# 1669500112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669500112 |
| Entity Type | Organization |
| Organization Name | NEW COUNTRY DENTAL GROUP |
| Practice Address |
5972 Route 31 Cicero NY 13039 |
| Practice Telephone | 3156991100 |
| Practice Fax Number | 3156994557 |
| Mailing Telephone | 3156991100 |
| Mailing Fax Number | 3156994557 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | DR. SEADA DAMIANO (PRESIDENT) |
| Authorized Official Telephone | 3156991100 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
040268 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043334352 | New Country Dental Group | Dentist | 2806 Court St, Syracuse, NY 13208-3248 | 2007-03-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NEW COUNTRY DENTAL GROUP, P.C. | 5972 Route 31, Cicero, Ny 13039 |
| Street Address |
5972 ROUTE 31 |
| City | CICERO |
| State | NY |
| Zip Code | 13039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238212 | Cody Hodgson | Physician Assistant | 6993 Van Antwerp Drive, East, Cicero, NY 13039 | 2019-08-01 |
| 1164989810 | Emily Grace Massey | Occupational Therapy Assistant | 5962 Rte 31, Cicero, NY 13039 | 2019-02-28 |
| 1356837512 | Jennifer Lonnen Dds Pllc | Dentist | 6221 Rt 31 Ste 102, Cicero, NY 13039 | 2018-07-10 |
| 1285186916 | Bismarck Np Psychiatric Services Pllc | Nurse Practitioner | 6221 Route 31, Suite 106, Cicero, NY 13039 | 2016-10-28 |
| 1386090397 | Kristin Raineri | Dentist | 5972 Rt 31, Cicero, NY 13039 | 2016-05-09 |
| 1053788281 | Empire Vision Center, Inc | Eyewear Supplier (Equipment, not the service) | 5653 East Circle Drive, Cicero, NY 13039 | 2015-08-24 |
| 1003251018 | Christina M Smith | Licensed Practical Nurse | 8449 Bayridge Rd, Cicero, NY 13039 | 2013-05-03 |
| 1134463433 | Margaret L Southard | Case Manager/Care Coordinator | 5962 Rt 31, Suite 7 Box 10, Cicero, NY 13039 | 2012-11-27 |
| 1245589852 | Samantha Danielle Dillon | Pharmacist | 8061 Brewerton Road, Cicero, NY 13039 | 2012-08-29 |
| 1861769168 | Laura Shaw | Counselor | 6221 Rt. 31, Suite 110, Cicero, NY 13039 | 2011-11-30 |
| Find all providers in zip 13039 | ||||
| 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 |
|---|---|---|---|---|
| 1568712123 | Monil P Shah Dmd PC | Dentist | 5539 W Cermak Road, Cicero, IL 60804 | 2012-09-11 |
| 1780949461 | Aryn Nicole Pittman | Dentist | 2254 S Cicero Ave, Cicero, IL 60804-2411 | 2012-07-10 |
| 1558633958 | Arif Samee, Dds Chtd | Dentist | 1639 S Cicero Ave, Cicero, IL 60804-1520 | 2012-01-31 |
| 1154615557 | Timothy Jeffrey Rogers | Dentist | 6130 W Cermak Rd, Cicero, IL 60804-2025 | 2011-06-02 |
| 1184915415 | 3 Stone Dental | Dentist | 5663 E Circle Dr, Suite 600, Cicero, NY 13039-8907 | 2011-04-20 |
| 1447494646 | Precision Dental Care 2, LLC | Dentist | 5317 W Cermak Rd, Cicero, IL 60804-2817 | 2009-05-01 |
| 1043487432 | Allcare Dental & Dentures of Ny PC | Dentist | 5663 E Circle Dr # D 6/7, Suite 600, Cicero, NY 13039-8907 | 2008-05-14 |
| 1154533180 | Koushan Haidarzadeh Azad | Dentist | 2240 S Cicero Ave, Cicero, IL 60804-2411 | 2007-05-03 |
| 1568595551 | Jefferson Dental Services,p.c. | Dentist | 8397 Brewerton Rd (us Route 11), Cicero, NY 13039 | 2007-03-13 |
| 1972641645 | Blanca L. Salazar | Dentist | 5008 W Cermak Rd, Cicero, IL 60804-2933 | 2007-02-02 |
| Find all providers in CICERO | ||||
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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.