Clinton Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CLINTON DENTAL P.C.

Practice address

6 E Park Row
Clinton, NY 13323-1583

Phone

(315) 853-2412

NPI assigned

Jan 6, 2022

Last updated

Jan 6, 2022By 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. Mark A Tardugno, DDSNPI 1457813206

Title

Partner

Phone

(315) 853-2412

Specialties & licenses 2

Addresses

Practitioners 2

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.

• Mark A Tardugno, DDS

  • General Practice Dentistry
  • Clinton, NY
  • NPI 1457813206
  NPD Authorized official
• John Frederick Menard, DDS

  • General Practice Dentistry
  • Clinton, NY
  • NPI 1952317810
  NPD (past)

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1437810900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E PARK ROW",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231583",
            "telephone_number": "315-853-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E PARK ROW",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231583",
            "telephone_number": "315-853-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "TARDUGNO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "315-853-2412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Chambrone
• Caitlin Krisa Cicak, M.S, OTR/L
• Ammie Nacole Clark
• Casey Laura Cleveland, FNP
• Clinton Central School
• Clinton Sterling Cottage Operator, Inc. (Brookdale Clinton)
• Crystal Dawn Collette, LMSW
• Community Medical Supply Inc
• Stephanie Marie Conley
• Kathleen Frances Contessa, MA, CCC-SLP

• General Practice Dentistry in Clinton, NY
• Providers in Clinton, 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 Jan 6, 2022; 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.