Organization Active NPI

Exceldent Dental of Monroe, LLP

  • General Practice Dentistry
  • Monroe, NY
National Provider Identifier
1205118700
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EXCELDENT DENTAL OF MONROE, LLP
Practice address
3 Center Hill Rd
Monroe, NY 10950-4805
Phone
(845) 783-1311
Fax
(845) 782-0825
NPI assigned
Sep 12, 2011
Last updated
Sep 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Peggy Scully
Title
Office Manager
Phone
(845) 783-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3 Center Hill Rd
Monroe, NY 10950-4805

Mailing address

3 Center Hill Rd
Monroe, NY 10950-4805
Phone (845) 783-1311

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1205118700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CENTER HILL RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504805",
            "telephone_number": "845-783-1311",
            "fax_number": "845-782-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CENTER HILL RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504805",
            "telephone_number": "845-783-1311",
            "fax_number": "845-782-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELDENT DENTAL OF MONROE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "SCULLY",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-783-1311"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.