Eastwood Dental Office, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042283 Issued in NY

Legal business name

EASTWOOD DENTAL OFFICE, PC

Practice address

2326 James St
Syracuse, NY 13206-2839

Phone

(315) 438-3333

Fax

(315) 437-7276

NPI assigned

Sep 29, 2006

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. Joan C. Laura, DDSNPI 1477646628

Title

President

Phone

(315) 438-3333

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Joan C. Laura, DDS

  • General Practice Dentistry
  • Syracuse, NY
  • NPI 1477646628
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417049198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062839",
            "telephone_number": "315-438-3333",
            "fax_number": "315-437-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062839",
            "telephone_number": "315-438-3333",
            "fax_number": "315-437-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWOOD DENTAL OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAURA",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-438-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2GH",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastern Paramedics Inc (Amr)
• Heather Eastman, PHARMD
• Heather Lynn Eastman, RN
• Sally Jo Easton, SPEECH-LANGUAGE PATH
• Eastsidecounselingservicessyracuse (eastsidecounselingservices)
• Jessica Cady Eaton, MD
• Dorianne Eaves, PSYD
• Carl Eber
• Kathy Eber
• Faith Eberst

• General Practice Dentistry in Syracuse, NY
• Providers in Syracuse, 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 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.