Organization Active NPI

William S Lancaster, DDS Herbert J Emmons, DDS Gary J Surman, DDS D

  • General Practice Dentistry
  • Cobleskill, NY
National Provider Identifier
1053438978
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
029712 Issued in NY
Legal business name
WILLIAM S LANCASTER, DDS HERBERT J EMMONS, DDS GARY J SURMAN, DDS D
Practice address
106 Division St
Cobleskill, NY 12043-4605
Phone
(518) 827-5171
NPI assigned
Mar 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Herbert J Emmons, DDS
Title
President of Prof. Corp.
Phone
(518) 827-5171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 029712 NY Primary

Addresses

Primary practice location

106 Division St
Cobleskill, NY 12043-4605

Mailing address

PO Box 351
Middleburgh, NY 12122-0351
Phone (518) 827-5171

National Provider Directory

National Provider Directory

Locations

106 Division St
Cobleskill, NY 12043
Phone (518) 234-4365

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053438978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "MIDDLEBURGH",
            "state": "NY",
            "postal_code": "121220351",
            "telephone_number": "518-827-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DIVISION ST",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120434605",
            "telephone_number": "518-827-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S LANCASTER, DDS HERBERT J EMMONS, DDS GARY J SURMAN, DDS D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMMONS",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OF PROF. CORP.",
        "authorized_official_telephone_number": "518-827-5171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cobleskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.