Omar Guesmia DDS. PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050409 Issued in NY

Legal business name

OMAR GUESMIA DDS. PC

Doing business as

Gentle Dental Care PC

Practice address

251 County Route 57
Phoenix, NY 13135-3301

Phone

(315) 695-2221

Fax

(315) 695-2287

NPI assigned

Apr 11, 2012

Last updated

Apr 11, 2012By 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. Omar Guesmia, DDS

Title

DDS/ Dentist

Phone

(315) 695-2221

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gentle Dental Care PC Doing business as

Locations

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1487911749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 COUNTY ROUTE 57",
            "city": "PHOENIX",
            "state": "NY",
            "postal_code": "131353301",
            "telephone_number": "315-695-2221",
            "fax_number": "315-695-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 COUNTY ROUTE 57",
            "city": "PHOENIX",
            "state": "NY",
            "postal_code": "131353301",
            "telephone_number": "315-695-2221",
            "fax_number": "315-695-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR GUESMIA DDS. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "GUESMIA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "DDS/ DENTIST",
        "authorized_official_telephone_number": "315-695-2221",
        "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": "050409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02858919",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental Care PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Phoenix, NY
• Providers in Phoenix, 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 Apr 11, 2012; 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.