Craft Smiles Pediatric Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

055053 Issued in NY

Legal business name

CRAFT SMILES PEDIATRIC DENTISTRY, PLLC

Practice address

1 Powelton Rd
Newburgh, NY 12550-2229

Phone

(845) 476-3777

NPI assigned

Apr 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Blair, D.M.D.NPI 1225342447

Title

Owner

Phone

(914) 409-8851

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.

• Jennifer Rae Blair, D.M.D.

  • Pediatric Dentistry
  • Newburgh, NY
  • NPI 1225342447
  NPD (past) Authorized official

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1023462736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POWELTON RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502229",
            "telephone_number": "845-476-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 POWELTON RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502229",
            "telephone_number": "845-476-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAFT SMILES PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-409-8851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "055053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda L Cossentino, CASAC-T
• Robert Coudrey, ATC
• County of Orange
• County of Orange
• Christina M Coviello, LMHC
• Casey Crawford, LMSW
• Catherine Crecco
• Lorraine Crescenzo
• Critical Care Physician of New York PC
• Cross Valley Health & Medicine, P.C.

• Dental Clinic/Center in Newburgh, NY
• Providers in Newburgh, 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 Apr 19, 2016; 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.