Alpha & Omega Dental, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051740 Issued in NY

Legal business name

ALPHA & OMEGA DENTAL, LLP

Practice address

220 Route 17
Tuxedo Park, NY 10987-4410

Phone

(845) 351-5158

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. SE-a Chung, D.M.D.

Title

General Partner

Phone

(845) 351-5158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1548470370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ROUTE 17",
            "address_2": "P.O. BOX 625",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874410",
            "telephone_number": "845-351-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ROUTE 17",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874410",
            "telephone_number": "845-351-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA & OMEGA DENTAL, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "SE-A",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "845-351-5158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Michelle Arras, R.N.
• Andrea Trenee Brown, MS, CCC-SLP
• Patricia Chesleigh, LPN
• Randy S Cheung, LAC
• SE-a Chung, D.M.D.

• General Practice Dentistry in Tuxedo Park, NY
• Providers in Tuxedo Park, 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 15, 2008; 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.