Kennedy Jane Seefeldt, DDS
Individual provider Active NPI Dentist · Wayland, NY
NPI 1003499435 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1003499435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 062442 (NY)
- Practice address
- 2288 Ny Route 63
Wayland, NY 14572 - Phone
- (585) 728-5200
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062442 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shay Markovitch Dentistry, PLLC | Current |
Accepting new patients | |
| Wayland Dental Care, PC | Dentist | Past |
Accepting new patients |
Locations
2288 State Route 63
Wayland, NY 14572
Phone (585) 728-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 062442 | NY | Yes |
Addresses
Primary practice location
2288 Ny Route 63
Wayland, NY 14572
Mailing address
2288 Ny Route 63
Wayland, NY 14572
Other practice location 1
3860 McKinley Pkwy Ste 200
Blasdell, NY 14219-2983
Phone (716) 649-1307
Other practice location 2
3435 Bailey Ave
Buffalo, NY 14215-1145
Phone (716) 862-8862
Other providers in Wayland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.