Valley Dental Group, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VALLEY DENTAL GROUP, LLP

Practice address

609 E Main St
Endicott, NY 13760-5036

Phone

(607) 754-3080

Fax

(607) 754-3083

NPI assigned

Jul 14, 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

Karen Butler

Title

Practice Manager

Phone

(607) 754-3080

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154347268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605036",
            "telephone_number": "607-754-3080",
            "fax_number": "607-754-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605036",
            "telephone_number": "607-754-3080",
            "fax_number": "607-754-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "607-754-3080"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02370905",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kandy Lynn Tyler, LPN
• Union Endicott Central School District
• Union Endicott Chiropractic, LLP
• United Health Services Hospitals Inc
• Ashley Lynn Vail, DVM
• Valley Dental Pediatrics, PC
• Karen Lynn Varma, LMSW
• Leslie Vermaat, LMHC
• Amanda Vesely, LMSW
• Kristina Audra Vingelis, DDS

• General Practice Dentistry in Endicott, NY
• Providers in Endicott, 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 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.