Seneca Family Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

037158 Issued in NY

Legal business name

SENECA FAMILY DENTAL PC

Practice address

5 Lock St
Baldwinsville, NY 13027-2506

Phone

(315) 638-0276

Fax

(315) 635-7859

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ravi C Dabir, DDS

Title

President Ceo

Phone

(315) 638-0276

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346361466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LOCK ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272506",
            "telephone_number": "315-638-0276",
            "fax_number": "315-635-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LOCK ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272506",
            "telephone_number": "315-638-0276",
            "fax_number": "315-635-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DABIR",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "315-638-0276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "037158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Nicole Sciuto
• Michele Seeber, MA, CCC-SLP/L
• Self-Direct Inc.
• Self-Direct, Inc.
• David Greer Selover, ATP
• Suzanne D Shapero, DMD
• Amy S Shaw, RN
• Michelle Sheldon, NP
• Shelby Siddall, REGISTERED NURSE
• Silver Fox Senior Social Club Inc

• Dentist in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Dentist 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.