Lyons & Mulder Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LYONS & MULDER FAMILY DENTISTRY, PLLC

Practice address

550 Maple Ave
Suite 103
Saratoga Springs, NY 12866

Phone

(518) 450-1046

Fax

(518) 450-1048

NPI assigned

Dec 10, 2020

Organization subpart

No

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

Authorized official

Name

Jessica Mulder, DDSNPI 1457577579

Title

Member

Phone

(518) 450-1046

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jessica Mulder, DDS

  • General Practice Dentistry
  • Saratoga Springs, NY
  • NPI 1457577579
  NPD (past) Authorized official

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1346846755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAPLE AVE",
            "address_2": "SUITE 103",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-450-1046",
            "fax_number": "518-450-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MAPLE AVE",
            "address_2": "SUITE 103",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-450-1046",
            "fax_number": "518-450-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYONS & MULDER FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "MULDER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "518-450-1046",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Alexandra Mae Lyle, FNP
• Tina Lyn, MS, MHC-LP
• Julianne Lyon
• Daniel Mackey, PT
• Madison Mackinnon, PA-C
• Catherine Susan Madigan, LCSW-R
• Heather Madigan, DO
• Nicole Madison, RN

• General Practice Dentistry in Saratoga Springs, NY
• Providers in Saratoga Springs, 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 Dec 10, 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.