DR. SCOTT WILLIAM SHALLISH (NPI# 1780812123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780812123 |
| Entity Type | Individual |
| Full Name | DR. SCOTT WILLIAM SHALLISH |
| Credential | D.M.D. |
| Practice Address |
3930 E Genesee St Syracuse NY 13214-1934 |
| Practice Telephone | 3154716188 |
| Practice Fax Number | 3154710271 |
| Mailing Telephone | 3154716188 |
| Mailing Fax Number | 3154710271 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2012-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 055055 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03279090 | 05 |
| Street Address |
3930 E GENESEE ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174534440 | Zdep Dds & Shallish Dmd PC | Dentist | 3930 E Genesee St, Syracuse, NY 13214-1934 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| 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 |
|---|---|---|---|---|
| 1619263894 | Nathan Christopher Cooney | Dentist | 1792 W 1700 S Ste 203, Syracuse, UT 84075-9651 | 2011-06-25 |
| 1316230360 | Lakeview Dental Syracuse, Inc. | Dentist | 1662 S 2000 W, Ste A1, Syracuse, UT 84075-7137 | 2011-05-24 |
| 1568659035 | Richard Joseph Gaffney | Dentist | 4919 So Salina St, Syracuse, NY 13205-2747 | 2007-09-28 |
| 1679776306 | Harjot Kaur | Dentist | 819 South Salina St, Syracuse, NY 13202 | 2007-06-08 |
| 1871794594 | Edward Louis Defuria | Dentist | 2800 Court Street, Syracuse, NY 13208 | 2007-05-30 |
| 1518172428 | Mary C Baker Dds PC | Dentist | 1101 S Huntington St, Ste 4, Syracuse, IN 46567-1981 | 2007-05-14 |
| 1831210418 | Richard J Giarrusso | Dentist | 247 West Fayette St, #259, Syracuse, NY 13202 | 2007-04-02 |
| 1235261173 | Vincent Dominic Dimento | Dentist | 4627 Onondaga Blvd, Syracuse, NY 13219-3301 | 2007-03-09 |
| 1538299797 | Christopher Robert Santay | Dentist | 2217 E Colvin St, Syracuse, NY 13210-3407 | 2007-03-06 |
| 1104951490 | Daniel Stephen Delluomo | Dentist | 3175 East Genesee St, Suite 2, Syracuse, NY 13224 | 2007-02-23 |
| Find all providers in SYRACUSE | ||||
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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.