Clifton Park Periodontics and Dental Implants, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CLIFTON PARK PERIODONTICS AND DENTAL IMPLANTS, PLLC

Practice address

1536 Crescent Rd Ste B8
Clifton Park, NY 12065-7729

Phone

(518) 313-6091

NPI assigned

Jul 1, 2021

Organization subpart

No

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

Authorized official

Name

Linda LamNPI 1578016317

Title

Member

Phone

(518) 631-5988

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.

• Linda Rona Wang Lam, DDS

  • Periodontics
  • Schenectady, NY
  • NPI 1578016317
  NPD Authorized official

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1003486945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 CRESCENT RD STE B8",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120657729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 CRESCENT RD STE B8",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120657729",
            "telephone_number": "518-313-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON PARK PERIODONTICS AND DENTAL IMPLANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "518-631-5988"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifton Park & Halfmoon Emergency Corps Inc.
• Clifton Park ASC LLC
• Clifton Park Dental, PLLC
• Clifton Park Eye Care Optometric Associates PLLC
• Clifton Park Medical Aesthetics LLC
• Clifton Park Physical Therapy
• Clifton Park Physical Therapy PLLC
• Clifton Park Podiatry, P.C.
• Clifton PK Family Dentistry
• Debra Clothier

• Periodontics in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.