North Country Dental Care, P. C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

34846 Issued in NY

Legal business name

NORTH COUNTRY DENTAL CARE, P. C.

Practice address

436 Route 25a
Saint James, NY 11780-1706

Phone

(631) 584-5605

Fax

(631) 862-1186

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Mand, D. D. S.

Title

President

Phone

(631) 584-5605

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194843789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 ROUTE 25A",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801706",
            "telephone_number": "631-584-5605",
            "fax_number": "631-862-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 ROUTE 25A",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801706",
            "telephone_number": "631-584-5605",
            "fax_number": "631-862-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY DENTAL CARE, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-584-5605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D. S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "34846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mva Services, Inc.
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• Theresa A Noe, MS. ED
• Corinne Nordin, MS, CCC-SLP
• Lorna Norelus
• O'Brien & Thompson MD PC
• Marissa Loren O'Connor, PA-C
• Natasha O'Connor, PH,D.
• Holly Odonnell
• Conor R Ohland, LMHC

• Dental Clinic/Center in Saint James, NY
• Providers in Saint James, 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.