Evan M. Dentes, M.D., P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

131699-1 Issued in NY

Legal business name

EVAN M. DENTES, M.D., P.C.

Practice address

5100 W Taft Rd
Suite 2Q
Liverpool, NY 13088-3807

Phone

(315) 457-7290

Fax

(315) 451-1663

NPI assigned

Feb 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Evan M Dentes, M.D.

Title

Owner

Phone

(315) 457-7290

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1497051643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE 2Q",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-457-7290",
            "fax_number": "315-451-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE 2Q",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-457-7290",
            "fax_number": "315-451-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN M. DENTES, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "DENTES",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-457-7290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "131699-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00563497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Richard Engel, D.D.S.
• Shari Lyn England, PA-C
• Amanda Jean Erardi, RN
• Eric M. Holmes, DDS, PLLC
• Barbara Erives
• Dina M Evangelista, RN
• Elizabeth Evans, BCBA, LBA
• Eye Surgeons of Central New York, PC
• Brittany Lynn Fabrizio
• Taylor Fahey

• Surgery Physician in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.