Dr Vincent D Dimento DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR VINCENT D DIMENTO DMD

Practice address

4627 Onondaga Blvd
Syracuse, NY 13219-3243

Phone

(315) 477-9960

Fax

(315) 423-0735

NPI assigned

Nov 7, 2018

Organization subpart

Yes

Parent organization

DR VINCENT DDIMENTO DMDAs reported in NPPES

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

Authorized official

Name

Dr. Vincent D Dimento, DMDNPI 1235261173

Title

Owner

Phone

(315) 477-9960

Specialties & licenses 1

Addresses

Part of

Dr Vincent D Dimento DMD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent Dominic Dimento, DMD

  • Dentist
  • Syracuse, NY
  • NPI 1235261173
  NPD (past) Authorized official
• Joseph Meluni, DDS

  • Dentist
  • Syracuse, NY
  • NPI 1871117184
  NPD (past)

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1093283160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 ONONDAGA BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193243",
            "telephone_number": "315-477-9960",
            "fax_number": "315-423-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 ONONDAGA BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193243",
            "telephone_number": "315-477-9960",
            "fax_number": "315-423-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VINCENT D DIMENTO DMD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR VINCENT DDIMENTO DMD",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "DIMENTO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-477-9960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 7, 2018; 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.