Davidson DDS, Keatinfg DDS, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

031416 Issued in NY

Legal business name

DAVIDSON DDS, KEATINFG DDS, LLP

Practice address

68 South Street
Auburn, NY 13021

Phone

(315) 252-7278

Fax

(315) 252-7279

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Henry Bradley Davidson IV, D.D.S.NPI 1922185107

Title

Partner

Phone

(315) 252-7278

Specialties & licenses 1

Addresses

Other names 1

• Fingerlakes Smiles Other name

Locations

Practitioners 2

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

• Henry Bradley Davidson IV, D.D.S.

  • General Practice Dentistry
  • Auburn, NY
  • NPI 1922185107
  NPD (past) Authorized official
• Robert J. Bialko, DMD

  • General Practice Dentistry
  • Auburn, NY
  • NPI 1457453011
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558573147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 SOUTH STREET",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-252-7278",
            "fax_number": "315-252-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 SOUTH STREET",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-252-7278",
            "fax_number": "315-252-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON DDS, KEATINFG DDS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "315-252-7278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "031416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fingerlakes Smiles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary J Daniels, RN
• Ronda Darby, L.AC
• Michele Rybarczyk Davenport, LPN
• David G. Nangle
• David R Reich MD
• Henry Bradley Davidson IV, D.D.S.
• Sarah Davies, LMHC
• Noah Davis, PA-C
• Michael Jude De Forrest, DC
• Luanne Deangelis

• General Practice Dentistry in Auburn, NY
• Providers in Auburn, 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 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.