Advanced Endodontics PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

024191 Issued in NY

Legal business name

ADVANCED ENDODONTICS PC

Practice address

5112 W Taft Rd
Suite 'R'
Liverpool, NY 13088-4868

Phone

(315) 453-3636

Fax

(315) 466-3636

NPI assigned

Jan 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce H Seidberg, DDSNPI 1841356649

Title

President

Phone

(315) 453-3636

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, and the practitioner matching its NPPES authorized official.

• Bruce Harvey Seidberg, DDS, MSCD, JD

  • Endodontics
  • Liverpool, NY
  • NPI 1841356649
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396881389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD",
            "address_2": "SUITE 'R'",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884868",
            "telephone_number": "315-453-3636",
            "fax_number": "315-466-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD",
            "address_2": "SUITE 'R'",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884868",
            "telephone_number": "315-453-3636",
            "fax_number": "315-466-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEIDBERG",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-453-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "024191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Action Ear on Cny Inc
• Carolyn Lee Adams, FNP-C
• Holly Fay Adams, NP
• Kimberly Adkins
• Ann Marie Adornato, DMD, MSD
• Advocates Incorporated
• Advocates Incorporated
• Felizen Soto Agno, MD
• Waseem Hassan Ahangar, M.D
• Dana Christopher Aiello, M.D.

• Endodontics in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Endodontics 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.