O'Brien Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

O'BRIEN DENTAL PLLC

Doing business as

Sitwell Dental

Practice address

2443 State Route 9 Ste 210
Malta, NY 12020-4518

Phone

(518) 400-0735

Fax

(518) 677-1123

NPI assigned

Feb 21, 2018

Last updated

Feb 21, 2018By 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

John O'Brien, DDS

Title

Owner

Phone

(518) 459-0711

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sitwell Dental Doing business as

Locations

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1114428653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122056408",
            "telephone_number": "518-459-0711",
            "fax_number": "518-459-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 STATE ROUTE 9 STE 210",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204518",
            "telephone_number": "518-400-0735",
            "fax_number": "518-677-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'BRIEN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-459-0711",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sitwell Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Nieckarz
• Mark Nistico, RN
• Kimberly Frances Nokes, PHARMD
• Scott J Nokes, PHARM.D.
• Nova Surgical PLLC
• Sara Anne O'Connor, PT, DPT
• Omaira Ocasio
• John Gerard Omaggio, RPH
• Linda Paley
• Samantha Lynn Paley, PA

• General Practice Dentistry in Malta, NY
• Providers in Malta, 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 Feb 21, 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.