Empire Dental of Webster PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EMPIRE DENTAL OF WEBSTER PLLC

Doing business as

Empire Dental Care

Practice address

1674 Empire Blvd Ste 400
Webster, NY 14580-1894

Phone

(585) 671-1650

Fax

(585) 671-4013

NPI assigned

Jun 23, 2020

Organization subpart

No

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

Authorized official

Name

Margarita Mishchenko

Title

Om

Phone

(585) 671-1650

Specialties & licenses 1

Addresses

Other names 1

• Empire Dental Care Doing business as

Locations

Practitioners 1

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

• Derek Schutzman, DMD

  • Dentist
  • Webster, NY
  • NPI 1114661162
  NPD

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1558987867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 EMPIRE BLVD STE 400",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801894",
            "telephone_number": "585-671-1650",
            "fax_number": "585-671-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 EMPIRE BLVD STE 400",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801894",
            "telephone_number": "585-671-1650",
            "fax_number": "585-671-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE DENTAL OF WEBSTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "MISHCHENKO",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "OM",
        "authorized_official_telephone_number": "585-671-1650"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc H Eigg, M.D.
• Sahar Elezabi, MD, MPH
• Elizabeth Laluk, LLC
• Johnathan Patrick Elliott, MS, NCC, CCTP
• Latoya Elliott
• Empire Vision Center Inc (Empire Vision Centers)
• Yagmur Engin
• Fethiye Sevde Ersan, D.D.S.
• Joseph Gabriel Escobar, RN
• Kristen Estelle, R.N.

• General Practice Dentistry in Webster, NY
• Providers in Webster, 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 Jun 23, 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.