Good Neighbors Dental Group PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GOOD NEIGHBORS DENTAL GROUP PLLC

Practice address

959 Kenmore Ave
Kenmore, NY 14223-3160

Phone

(716) 871-1614

Fax

(716) 871-1519

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Deborah Damico

Title

Practice Manager

Phone

(716) 631-2728

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.

• Kevin Joseph Hanley, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Buffalo, NY
  • NPI 1700844917
  NPD (past)

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1356853709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 KENMORE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142233160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 KENMORE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142233160",
            "telephone_number": "716-871-1614",
            "fax_number": "716-871-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEIGHBORS DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "DAMICO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "716-631-2728"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Goldstein, OTR/L
• Derek J. Golley, D.C.
• David Gomez
• Wendy Ann Gonzalez, P.T.
• Rebecca Ann Gooch, MD
• Terri L Good, LMSW
• James Patrick Goode, PA-S
• Leslie FZ Gordon, MSED
• Mark Jay Gordon, OD
• Jasmine Graves

• Orthodontics and Dentofacial Orthopedics Dentistry in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.