University Dental Associates, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048166 Issued in NY

Legal business name

UNIVERSITY DENTAL ASSOCIATES, LLP

Practice address

90 Presidential PLZ
Ste 4130
Syracuse, NY 13202-2240

Phone

(315) 464-2778

Fax

(315) 464-6524

NPI assigned

May 8, 2014

Organization subpart

No

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

Authorized official

Name

Robert N. Cooney, MD

Title

MD/Chairman

Phone

(315) 464-5549

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lonnen, DDS

  • Dentist
  • Syracuse, NY
  • NPI 1013394220
  Medicare reassignment NPD
• Patrick B Smith, DDS

  • Dentist
  • Syracuse, NY
  • NPI 1114955747
  Medicare reassignment NPD
• Michael Allen Archer I, DO

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Syracuse, NY
  • NPI 1962701094
  NPD (past)

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1235549569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "STE. 8141",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-5549",
            "fax_number": "315-464-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PRESIDENTIAL PLZ",
            "address_2": "STE 4130",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022240",
            "telephone_number": "315-464-2778",
            "fax_number": "315-464-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DENTAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "COONEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MD/CHAIRMAN",
        "authorized_official_telephone_number": "315-464-5549",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048166",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ojali Ruth Unedu, MD
• Trista Ungerer, MS, CCC-A
• Nicole Marie Unislawski, FNP-C
• United Cerebral Palsy and Handicapped Children'S Assoc of Syracuse
• United Seating and Mobility LLC
• University Hill Radiation Oncology
• University Hospital @ Syracuse
• University OB/GYN Associates
• University Otolaryngology Associates of Central New York, LLP
• University Pathologists Laboratories, LLP

• General Practice Dentistry in Syracuse, NY
• Providers in 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 May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.