Canandaigua Dental Health, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

045901 Issued in NY

Legal business name

CANANDAIGUA DENTAL HEALTH, PLLC

Practice address

317 S Main St
Canandaigua, NY 14424-2118

Phone

(585) 394-5910

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jo Anna S Gagliardi

Title

Administrator

Phone

(585) 394-5910

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• V, Brain Gagliardi, DMD Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Brian Gagliardi, DMD

  • General Practice Dentistry
  • Canandaigua, NY
  • NPI 1124116165
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114064938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242118",
            "telephone_number": "585-394-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242118",
            "telephone_number": "585-394-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANANDAIGUA DENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGLIARDI",
        "authorized_official_first_name": "JO ANNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "585-394-5910",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "045901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "045901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "V, Brain Gagliardi, DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jo-Anne Campbell, LMSW
• Camps Canandaigua LLC
• Canandaigu VA Medical Center
• Canandaigua Anesthesia Associates LLP
• Canandaigua City School District
• Canandaigua Emergency Squad, Inc
• Canandaigua Medical Group X-Ray
• Canandaigua Medical Group, P.C.
• Canandaigua Oral Surgery, PC
• Canandaigua Orthopaedic Associates, PC

• Dental Clinic/Center in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Dental Clinic/Center in New York

• 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.