DR. FRANCIS STANLEY PULTORAK (NPI# 1669513685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669513685 |
| Entity Type | Individual |
| Full Name | DR. FRANCIS STANLEY PULTORAK |
| Credential | D.D.S. |
| Practice Address |
14 Myrtle Ave Cambridge NY 12816-1004 |
| Practice Telephone | 5186773633 |
| Practice Fax Number | 5186773633 |
| Mailing Telephone | 5186773633 |
| Mailing Fax Number | 5186773633 |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 31596 | NY | Dental Providers |
| Street Address |
14 MYRTLE AVE |
| City | CAMBRIDGE |
| State | NY |
| Zip Code | 12816-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558477596 | Ellen Marie Biggers | Obstetrics & Gynecology | 22 North Park Street, Cambridge, NY 12816 | 2006-08-22 |
| 1750385381 | Joanne Steele | Nurse Practitioner | 57 W Main St, Cambridge, NY 12816 | 2005-06-10 |
| 1700877149 | Brian Marc Resnik | Physician Assistant | 35 Gilbert St, Cambridge, NY 12816 | 2005-11-03 |
| 1104442839 | Icc Management & Consulting, Inc | Assisted Living Facility | 11 S Union St, Cambridge, NY 12816-1008 | 2020-06-18 |
| 1861640526 | Bridget O Rowan | Pharmacist | 55 W Main St, Cambridge, NY 12816-1021 | 2008-09-05 |
| 1457433260 | Ohearns Pharmacy Inc | Pharmacist | 55 W Main St, Cambridge, NY 12816-1021 | 2006-10-20 |
| 1518935741 | Heather K Alden | Chiropractor | 57 W Main St, Cambridge, NY 12816-1021 | 2006-03-14 |
| 1699094656 | Michael Fredrick Bohley | Counselor | 84 W Main St, Suite 2, Cambridge, NY 12816-1086 | 2010-05-28 |
| 1154501872 | David Lester | Pharmacist | 2 N Park St, Cambridge, NY 12816-1105 | 2007-11-09 |
| 1356450662 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 2 North Park Street, Cambridge, NY 12816-1105 | 2006-08-30 |
| Find all providers in zip 12816 | ||||
| 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 |
|---|---|---|---|---|
| 1750998068 | Asif Ebrahim Rangoonwala | Dentist | 287 Harvard St Apt 37, Cambridge, MA 02139-2366 | 2020-09-30 |
| 1912569799 | Zachary Marc Hutchins | Dentist | 1596 2nd Ave Ne Ste A, Cambridge, MN 55008-8069 | 2019-07-02 |
| 1902327026 | Andy Sungmin Lee | Dentist | 10 Museum Way Apt 928, Cambridge, MA 02141-1894 | 2017-06-28 |
| 1821461823 | Jingfeng Xie | Dentist | 575 Mount Auburn St Ste B104, Cambridge, MA 02138-4656 | 2015-11-12 |
| 1750762548 | Armando Pardo | Dentist | 24 Peabody Terrace, Ap1602, Cambridge, MA 02138 | 2015-06-17 |
| 1437561560 | Dmitry Grigory Merzon | Dentist | 1751 Massachusetts Ave Fl 1, Cambridge, MA 02140-2218 | 2014-05-23 |
| 1952749335 | Dille Dental, Pllc | Dentist | 90 S Superior Street, Cambridge, ID 83610 | 2013-06-07 |
| 1689010530 | Jennifer Joy Zysk | Dentist | 77 Hurley St, Cambridge, MA 02141-2134 | 2013-05-20 |
| 1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
| 1982956991 | Hyun M. Bae | Dentist | 406 Lecompte St, Cambridge, MD 21613-2437 | 2012-10-15 |
| Find all providers in CAMBRIDGE | ||||
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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.