Organization Active NPI

Avon Dental

  • General Practice Dentistry
  • Avon, NY
National Provider Identifier
1447737663
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050216 Issued in NY
Legal business name
AVON DENTAL
Practice address
520 Dream Valley Blvd
Avon, NY 14414-1472
Phone
(585) 226-3113
Fax
(585) 226-3131
NPI assigned
Jul 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Sharon Hall
Title
Office Manager
Phone
(585) 226-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 050216 NY Primary

Addresses

Primary practice location

520 Dream Valley Blvd
Avon, NY 14414-1472

Mailing address

520 Dream Valley Blvd
Avon, NY 14414-1472
Phone (585) 226-3113

National Provider Directory

National Provider Directory

Locations

520 Dream Valley Blvd
Avon, NY 14414
Phone (585) 226-3113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1447737663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 DREAM VALLEY BLVD",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144141472",
            "telephone_number": "585-226-3113",
            "fax_number": "585-226-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 DREAM VALLEY BLVD",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144141472",
            "telephone_number": "585-226-3113",
            "fax_number": "585-226-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-226-3113"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.