PEDIATRIC DENTISTRY OF ALBANY,PLLC (NPI# 1881936441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881936441 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY OF ALBANY,PLLC |
| Practice Address |
980 Western Ave Albany NY 12203-2799 |
| Practice Telephone | 5185123072 |
| Practice Fax Number | 5186217286 |
| Mailing Telephone | 5185123072 |
| Mailing Fax Number | 5186217286 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |
| Authorized Official Name | MRS. EMMA SOULI (OFFICE MANAGER) |
| Authorized Official Telephone | 7189976453 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
980 WESTERN AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-2799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174682488 | Stephen Price | Psychiatry & Neurology | 980 Western Ave, Albany, NY 12203-2799 | 2006-12-06 |
| 1023177334 | Threat Assessment & Risk Management Center, LLC | Social Worker | 980 Western Ave, Albany, NY 12203-2799 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| 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 |
|---|---|---|---|---|
| 1336286517 | Jay Vaikuntam | Dentist | 155 Nw Hickory St, Albany, OR 97321-1724 | 2007-01-30 |
| 1528147394 | Steven Dwight Sample | Dentist | 2301 Lullwater Rd, Albany, GA 31707-3180 | 2006-11-03 |
| 1750378931 | Lawrence Alan Kotlow | Dentist | 340 Fuller Rd, Albany, NY 12203-3647 | 2005-10-03 |
| 1003423641 | Honeymint Pediatric Dentistry LLC | Dentist | 2350 14th Ave Se, Albany, OR 97322-6800 | 2020-09-28 |
| 1578045258 | Juwon Park Dmd PC | Dentist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-08-30 |
| 1336531185 | Kenneth Steve Sellers Jr. | Dentist | 2301 Lullwater Rd, Albany, GA 31707-3180 | 2015-03-02 |
| 1972928158 | Eddie Ronald Fields Jr. | Dentist | 2301 Lullwater Rd, Albany, GA 31707-0001 | 2014-02-25 |
| 1922430487 | So & Valdez, A Professional Dental Corporatiom | Dentist | 847 San Pablo Ave, Albany, CA 94706-1602 | 2013-08-06 |
| 1922338128 | Jeannette Marie Pope-ozimba | Dentist | 1505 W 3rd Ave, Ste A, Albany, GA 31707-3647 | 2010-01-11 |
| 1083866982 | John Juwon Park | Dentist | 4 Executive Park Dr, Albany, NY 12203 | 2008-10-22 |
| Find all providers in ALBANY | ||||
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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.