Great Beginnings Pediatric Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

055925 Issued in NY

Legal business name

GREAT BEGINNINGS PEDIATRIC DENTISTRY PLLC

Practice address

127 Winslow St
Watertown, NY 13601-4389

Phone

(818) 462-7848

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Maria Laura Ybarra, DDS

Title

Owner

Phone

(818) 462-7848

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1013382852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WINSLOW ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014389",
            "telephone_number": "818-462-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT BEGINNINGS PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "YBARRA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-462-7848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "055925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordon Graban
• Damien Graham, RPH
• Michelle Lee Graham
• Kelly Grass
• Daniel Stanley Gray, MD
• Charrie Lynn Green
• Jessica Green
• Nicole Green, RN
• Shellie A Green
• Shannon Pauline Gregory, MS, CCC-SLP

• Dental Clinic/Center in Watertown, NY
• Providers in Watertown, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.