Oakwood Dental Arts South Shore

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OAKWOOD DENTAL ARTS SOUTH SHORE

Practice address

4864 Arthur Kill Rd
Staten Island, NY 10309

Phone

(718) 356-9800

NPI assigned

Jun 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mark Laris Ruggeri

Title

Dentist

Phone

(718) 356-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1033471693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 ARTHUR KILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10309",
            "telephone_number": "718-356-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 ARTHUR KILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10309",
            "telephone_number": "718-356-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD DENTAL ARTS SOUTH SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "RUGGERI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LARIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-356-9800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine O'Sullivan, RN
• Alanna Therese O'Toole, BCBA
• Jamie Anne O'Toole, PA-C
• Patrick O'Toole Jr., PHARM. D.
• Oakwood Dental Arts LLC
• Oakwood Dental Sleep Center LLC
• Oakwood Dental, P.C. (Smile Design Dental Group)
• Oasis of Hope Counseling, LLC
• Tricia Anne Oates, RN
• OB-GYN Associates of Staten Island, P.C.

• Dentist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.