Mark A Oberferst, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

040695 Issued in NY

Practice address

7085 E Genesee St
Fayetteville, NY 13066-1146

Phone

(315) 632-4600

Fax

(315) 492-6051

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 14, 2020 through Sep 14, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunny Dental Fayetteville

  • General Practice Dentistry
  • Fayetteville, NY
  • NPI 1700732732
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1043437585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661146",
            "telephone_number": "315-632-4600",
            "fax_number": "315-492-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661146",
            "telephone_number": "315-632-4600",
            "fax_number": "315-492-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERFERST",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Medical Cardiovascular Group PC
• Larry Ira Novak, MD.
• Joseph P Novek, DPM
• Paul F. Nozynski, D.D.S.,P.C.
• Anita D O'Malley, PA
• Navpriya Oberoi, MD
• Colleen Olszewski, FNP-C
• Mary Oot, FNP
• Tana Lynn Osada, R.N.
• John J Osborne, LCSW

• Dentist in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.