New Country Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040344 Issued in NY

Legal business name

NEW COUNTRY DENTAL GROUP

Practice address

2806 Court St
Syracuse, NY 13208-3248

Phone

(315) 455-7079

Fax

(315) 454-9187

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Edward Damiano, DDS

Title

Secretary

Phone

(315) 455-7079

Specialties & licenses 1

Addresses

Tax ID family

New Country Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Country Dental Group

  • General Practice Dentistry
  • Cicero, NY
  • NPI 1669500112
  NPD tax ID

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1043334352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132083248",
            "telephone_number": "315-455-7079",
            "fax_number": "315-454-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132083248",
            "telephone_number": "315-455-7079",
            "fax_number": "315-454-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW COUNTRY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "DAMIANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "315-455-7079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurosurgical Associates of Central New York, LLP
• Christopher Glenn Neville, PHD, PT
• Kevin Neville, P.T.
• Lisa Haley Neville, MS OTR/L
• New American Empowerment
• Steven C New
• Caitlin Newby, PMHNP-BC
• Kathleen K Newby, SLP
• Bryan Thomas Newcomb, CRNA
• Megan Terese Newkirk, PHARM.D.

• General Practice Dentistry in Syracuse, NY
• Providers in Syracuse, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.