Camden Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052354 Issued in NY

Legal business name

CAMDEN DENTAL P.C.

Practice address

68 Main St
Camden, NY 13316-1338

Phone

(315) 245-1445

NPI assigned

Jan 21, 2009

Last updated

Jan 21, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Virinder Modgil, DDSNPI 1275621641

Title

Ceo

Phone

(315) 245-1445

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Virinder Modgil, DDS

  • Dentist
  • Camden, NY
  • NPI 1275621641
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1003053505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 MAIN ST",
            "address_2": "PO BOX 436",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133161338",
            "telephone_number": "315-245-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MAIN ST",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133161338",
            "telephone_number": "315-245-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "MODGIL",
        "authorized_official_first_name": "VIRINDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-245-1445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Baker, MSOTR/L
• Shannon Christine Bell, OTR/L
• Rebecca Blackard
• Matthew Blum, DPT
• Camden Central School District
• Camden Drugs Inc (Medicine Shoppe)
• Jacqueline Anne Chilluffo
• Sarah Christmas, OT
• Cny Helpers, LLC (Home Helpers & Direct Link #58740)
• Come to the Table Counseling LCSW

• General Practice Dentistry in Camden, NY
• Providers in Camden, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.