Craig O. Sundahl, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

023384 Issued in NY

Legal business name

CRAIG O. SUNDAHL, D.D.S., P.C.

Practice address

1 Madison Ave
Larchmont, NY 10538-1929

Phone

(914) 833-1111

Fax

(914) 833-1274

NPI assigned

Aug 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Craig O. Sundahl, D.D.S.

Title

President

Phone

(914) 833-1111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114034865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COUNTRY RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431109",
            "telephone_number": "914-698-1882",
            "fax_number": "914-698-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MADISON AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381929",
            "telephone_number": "914-833-1111",
            "fax_number": "914-833-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG O. SUNDAHL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUNDAHL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-833-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "023384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.