Wilson Dandato Sithole, DDS MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0305001 Issued in NY

Practice address

6846 Buckley Road
Salina Family Dental PLLC
North Syracuse, NY 13212

Phone

(315) 457-7393

Fax

(315) 457-7396

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Salina Family Dental PC

  • General Practice Dentistry
  • North Syracuse, NY
  • NPI 1700955762
  Authorized official Same address or phone

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215925557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6846 BUCKLEY ROAD",
            "address_2": "SALINA FAMILY DENTAL PLLC",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-457-7393",
            "fax_number": "315-457-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6846 BUCKLEY ROAD",
            "address_2": "SALINA FAMILY DENTAL PLLC",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-457-7393",
            "fax_number": "315-457-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITHOLE",
        "first_name": "WILSON",
        "middle_name": "DANDATO",
        "name_prefix": "Dr.",
        "credential": "DDS MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0305001",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "2826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02512852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pasquale Scutari Jr., DDS
• Aubrey Lynne Sejuit, LISW-CP
• Adam Shaver, BA, CASAC
• Cathleen Elizabeth Shea, LMHC
• Lindsay Shelmadine
• Skyline Optometry, P.C.
• Patricia Mary Slack, ATR-BC, LCAT, CASAC
• Kelley E Sluka
• Jennifer Keyes Slusser, OTR
• Jennifer M Smith, LPN

• General Practice Dentistry in North Syracuse, NY
• Providers in North Syracuse, 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 Jul 8, 2007; 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.