Active NPI
SC Dental PC
- General Practice Dentistry
- East Syracuse, NY
National Provider Identifier
1265733877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SC DENTAL PC
- Practice address
- 281 Sanders Creek Pkwy
East Syracuse, NY 13057-1307 - Phone
- (866) 273-8204
- Fax
- (866) 803-4943
- NPI assigned
- Nov 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arwindr Judge, DDS
- Title
- Owner
- Phone
- (866) 273-8204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
281 Sanders Creek Pkwy
East Syracuse, NY 13057-1307
Mailing address
PO Box 3189
Syracuse, NY 13220-3189
Phone (866) 273-8204
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289520000000",
"number": "1265733877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3189",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132203189",
"telephone_number": "866-273-8204",
"fax_number": "866-803-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 SANDERS CREEK PKWY",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130571307",
"telephone_number": "866-273-8204",
"fax_number": "866-803-4943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SC DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-12",
"last_updated": "2010-11-12",
"status": "A",
"authorized_official_last_name": "JUDGE",
"authorized_official_first_name": "ARWINDR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "866-273-8204",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.