Pediatric Dental Associates PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

040579 Issued in NY

Legal business name

PEDIATRIC DENTAL ASSOCIATES PLLC

Practice address

1800 Maple Rd Ste 200
Williamsville, NY 14221-2749

Phone

(716) 688-7712

Fax

(716) 688-4719

NPI assigned

Oct 10, 2017

Last updated

Mar 17, 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

Dr. Paul Creighton, DDS

Title

Member

Phone

(716) 688-7712

Specialties & licenses 6

Addresses

Locations

Practitioners 36

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.

• Farah Abu Sharkh, DDS

  • General Practice Dentistry
  • Buffalo, NY
  • NPI 1912490921
  NPD (past)
• Robert William Alexander, D.D.S.

  • Pediatric Dentistry
  • Amherst, NY
  • NPI 1700918398
  NPD (past)
• Alisha Andrashewski, DDS

  • Student in an Organized Health Care Education/Training Program
  • Buffalo, NY
  • NPI 1689232787
  NPD (past)
• Kelly Ann Burch, D.D.S.

  • Dentist
  • Cheektowaga, NY
  • NPI 1801206370
  NPD (past)
• Margaret A Certo, D.D.S.

  • Pediatric Dentistry
  • Buffalo, NY
  • NPI 1669534863
  NPD (past)
• Melissa Marie Fallon, D.D.S.

  • Dentist
  • Orchard Park, NY
  • NPI 1003047309
  NPD (past)
• Thomas Brendan Fallon, DDS

  • General Practice Dentistry
  • Orchard Park, NY
  • NPI 1225293160
  NPD (past)
• Tawfiq Hazboun

  • Prosthodontics
  • Orchard Park, NY
  • NPI 1356658942

  General Practice

  NPD (past)
• Elly Hosseini, DMD

  • Student in an Organized Health Care Education/Training Program
  • Buffalo, NY
  • NPI 1285287664
  NPD (past)
• Nadia Latifi, DDS

  • Dentist
  • Buffalo, NY
  • NPI 1295389500
  NPD (past)
• Michael Robert Markiewicz, D.D.S, M.P.H, M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Buffalo, NY
  • NPI 1225291347

  Oral and Maxillofacial Surgery

  NPD (past)
• David Carl McCloe, DDS

  • Pediatric Dentistry
  • Williamsville, NY
  • NPI 1134514243
  NPD (past)

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1144730649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MAPLE RD STE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212749",
            "telephone_number": "716-688-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MAPLE RD STE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212749",
            "telephone_number": "716-688-7712",
            "fax_number": "716-688-4719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 E Robinson Rd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142282041",
            "country_code": "US",
            "telephone_number": "716-995-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "394 Main St",
            "address_purpose": "LOCATION",
            "city": "East Aurora",
            "state": "NY",
            "postal_code": "140521715",
            "country_code": "US",
            "telephone_number": "716-655-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Niagara Falls Blvd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142282020",
            "country_code": "US",
            "telephone_number": "716-694-7224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Abbott Rd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142201700",
            "country_code": "US",
            "telephone_number": "716-828-3575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 Buffalo Ave",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143031320",
            "country_code": "US",
            "telephone_number": "716-282-5725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Main St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142092308",
            "country_code": "US",
            "telephone_number": "716-242-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142032240",
            "country_code": "US",
            "telephone_number": "716-402-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CREIGHTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "716-688-7712",
        "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": "057971",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "040579",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "31086",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "045762",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "058438",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "050946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth D Pearsen, MD
• Pediatric & Adolescent Urgent Care
• Pediatric and Adolescent Urgent Care of the Southtowns, PLLC
• Pediatric and Adolescent Urgent Care of Western New York (Peds Urgent Care)
• Pediatric and Adolescent Urgent Care of Western New York (Peds Urgent Care)
• Pediatric Dental Care, P.C.
• Pediatric Home Nursing Services, Inc. (Aveanna Healthcare)
• Shannon L. Pellerite, RPH
• Francesco R Pellicano, DPT
• Gabriella Pelosi, LMHC

• Pediatric Dentistry in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.