Active NPI
Wojtyna Dental LLC
- Dentist
- East Syracuse, NY
National Provider Identifier
1437690104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019027575
- Legal business name
- WOJTYNA DENTAL LLC
- Practice address
- 6600 Weighlock Drive
East Syracuse, NY 13057 - Phone
- (315) 454-6000
- Fax
- (866) 803-4943
- NPI assigned
- Mar 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Kraushaar
- Title
- Provider Relations
- Phone
- (315) 454-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019027575 | IL | Primary |
Addresses
Primary practice location
6600 Weighlock Drive
East Syracuse, NY 13057
Mailing address
3024 Sr-159
Glen Carbon, IL 62034
Phone (618) 205-6119
National Provider Directory
National Provider DirectoryLocations
3024 S State Route 159
Glen Carbon, IL 62034
Phone (618) 205-6119
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Rochester, NY
- NPI 1750959946
-
- General Practice Dentistry
- Indianapolis, IN
- NPI 1184232340
-
- Dentist
- Brentwood, MO
- NPI 1285200220
-
- Dentist
- Evansville, IN
- NPI 1639750862
-
- Dentist
- Glen Carbon, IL
- NPI 1841831732
-
- Dentist
- Glen Carbon, IL
- NPI 1699401406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489536000000",
"number": "1437690104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 SR-159",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "62034",
"telephone_number": "618-205-6119",
"fax_number": "618-659-1343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 WEIGHLOCK DRIVE",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "13057",
"telephone_number": "315-454-6000",
"fax_number": "866-803-4943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOJTYNA DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-15",
"status": "A",
"authorized_official_last_name": "KRAUSHAAR",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "PROVIDER RELATIONS",
"authorized_official_telephone_number": "315-454-6000"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": "019027575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.