Affordable Dentures - Albany Ny II, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045037-1 Issued in NY

Legal business name

AFFORDABLE DENTURES - ALBANY NY II, P.C.

Practice address

1554 Central Ave
Albany, NY 12205-5049

Phone

(518) 218-7792

NPI assigned

Jan 7, 2010

Last updated

Jan 7, 2010By 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

Petalrose Wenham-Clark, DDS

Title

Practice Owner

Phone

(518) 218-7792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1558691972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055049",
            "telephone_number": "518-218-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055049",
            "telephone_number": "518-218-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - ALBANY NY II, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "WENHAM-CLARK",
        "authorized_official_first_name": "PETALROSE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "518-218-7792",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045037-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Albany, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.