WOODBURY FAMILY DENTAL, PLLC (NPI# 1992249122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992249122 |
| Entity Type | Organization |
| Organization Name | WOODBURY FAMILY DENTAL, PLLC |
| Practice Address |
505 State Route 208 Suite 23 Monroe NY 10950-1608 |
| Practice Telephone | 8457821800 |
| Practice Fax Number | 8457823116 |
| Mailing Telephone | 8457821800 |
| Mailing Fax Number | 8457823116 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | MRS. CATHY LEWIS (OFFICE MANAGER) |
| Authorized Official Telephone | 8457821800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 045825 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306181235 | Woodbury Family Dental, Pllc | Dentist | 118 River Rd, Suite 14, Harriman, NY 10926-3021 | 2012-12-04 |
| Street Address |
505 STATE ROUTE 208 SUITE 23 |
| City | MONROE |
| State | NY |
| Zip Code | 10950-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700804895 | Elliot Davis | Social Worker | 505 State Route 208, Suite 16, Monroe, NY 10950-1608 | 2006-07-17 |
| 1376997395 | Daniel Wood | Occupational Therapist | 505 State Route 208, Suite 30, Monroe, NY 10950-1608 | 2016-04-15 |
| 1578925897 | Taylor Payne | Physical Therapist | 505 State Route 208, Suite 30, Monroe, NY 10950-1608 | 2016-03-25 |
| 1811386485 | Sara Walk | Physical Therapist | 505 State Route 208, Suite 30, Monroe, NY 10950-1608 | 2015-01-20 |
| 1053711515 | Diana Kornberg | Physical Therapist | 505 State Route 208, Suite 30, Monroe, NY 10950-1608 | 2014-09-02 |
| 1154631752 | Kylie Miller Starr | Physical Therapist | 505 State Route 208, Suite 30, Monroe, NY 10950-1608 | 2010-10-15 |
| 1417265018 | Theresa Fitzgerald Rattazzi | Nurse Practitioner | 505 State Route 208, Monroe, NY 10950-1608 | 2010-09-16 |
| 1215253612 | Laura J. Piluso, D.p.m. PC | Podiatrist | 505 State Route 208, Monroe, NY 10950-1608 | 2010-04-12 |
| 1326279308 | Jonathan Hunziker | Physical Therapist | 505 State Route 208, Suite 30, Monroe, NY 10950-1608 | 2009-08-07 |
| 1821242439 | Monroe Physical Therapy Wellness, Pllc | Physical Therapist | 505 State Route 208, Suite 30, Monroe, NY 10950-1608 | 2008-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
| 1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
| 1740719038 | Heartstrings LLC | Home Health | 6 Mountain Road, Unit 204, Monroe, NY 10950 | 2017-06-08 |
| 1841739752 | Committed Home Care Inc. | Home Health | 14 Fillmore Court Unit 311, Monroe, NY 10950 | 2017-02-13 |
| 1104362813 | Alison Guiney | Case Manager/Care Coordinator | 101 Stage Road, Monroe, NY 10950 | 2017-01-19 |
| 1710436332 | Elite Services Ny Inc. | Home Health | 48 Bakertown Road Suite 204, Monroe, NY 10950 | 2016-09-23 |
| 1780047084 | Stephanie Santiago | Occupational Therapy Assistant | 27 Sandra Ln, Monroe, NY 10950 | 2016-04-04 |
| 1851770440 | Priority Home Care Services, Inc. | Home Health | 48 Bakertown Road, Suite 204, Monroe, NY 10950 | 2015-05-28 |
| 1518344274 | Mydesh Inc | Pharmacy | 581 Nys Route 17m, Monroe, NY 10950 | 2015-05-01 |
| 1942694377 | Yenty Fischel | Occupational Therapist | 1 Diner Rd, Monroe, NY 10950 | 2015-03-24 |
| Find all providers in zip 10950 | ||||
| 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 |
|---|---|---|---|---|
| 1851934160 | Walton Family Dentistry LLC | Dentist | 862 Michael Etchison Rd, Monroe, GA 30655-8204 | 2019-10-21 |
| 1306404363 | Laten Edwards Barham | Dentist | 4351 Pecanland Mall Dr, Monroe, LA 71203-7014 | 2019-06-04 |
| 1932622701 | Rory J Perimenis | Dentist | 324 Elm St Ste 201a, Monroe, CT 06468-2282 | 2017-07-24 |
| 1598295354 | Kelly Rae Irwin | Dentist | 14650 N Kelsey St Ste 104-105, Monroe, WA 98272-1456 | 2017-06-14 |
| 1356879118 | Patricia Pass-dudley Dds PC | Dentist | 516 Great Oaks Dr, Monroe, GA 30655-8211 | 2017-05-24 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1881148195 | Khalid I Ragab | Dentist | 2165 N Telegraph Rd, Monroe, MI 48162-8947 | 2016-08-04 |
| 1457703696 | Monique Hudson,dds, Pa | Dentist | 2200 Walters Division Rd, Monroe, NC 28110-8562 | 2016-07-12 |
| 1114302395 | Patrick Burkardt | Dentist | 2015 Heiss Rd, Monroe, MI 48162-9406 | 2015-07-29 |
| 1417335142 | Michael Doo Hyun Kang | Dentist | 324 Elm St Ste 103a, Monroe, CT 06468-2281 | 2015-05-14 |
| Find all providers in MONROE | ||||
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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.