Organization Active NPI

Sayville Family Dentistry

  • General Practice Dentistry
  • Sayville, NY
National Provider Identifier
1548334766
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
036178 Issued in NY
Legal business name
SAYVILLE FAMILY DENTISTRY
Practice address
207 W Main St
Sayville, NY 11782-2505
Phone
(631) 589-0672
Fax
(631) 589-4492
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence Vincent Caronia, D.D.S.
Title
General Partner
Phone
(631) 589-0672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 036178 NY Primary

Addresses

Primary practice location

207 W Main St
Sayville, NY 11782-2505

Mailing address

PO Box 359
Sayville, NY 11782-0359
Phone (631) 589-0672

National Provider Directory

National Provider Directory

Locations

207 W Main St
Sayville, NY 11782
Phone (631) 589-0672

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548334766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117820359",
            "telephone_number": "631-589-0672",
            "fax_number": "631-589-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W MAIN ST",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822505",
            "telephone_number": "631-589-0672",
            "fax_number": "631-589-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYVILLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARONIA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "631-589-0672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.