Harborside Dental Team

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HARBORSIDE DENTAL TEAM

Practice address

1695 Empire Blvd Ste 230
Webster, NY 14580-2191

Phone

(585) 671-2720

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By 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

Dr. Matthew Harrison Wolfe, DMDNPI 1336601145

Title

Dentist Owner

Phone

(585) 671-2720

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Harrison Wolfe

  • Student in an Organized Health Care Education/Training Program
  • Asheville, NC
  • NPI 1336601145
  NPD Authorized official

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1578225595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 EMPIRE BLVD STE 230",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802191",
            "telephone_number": "585-671-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 EMPIRE BLVD STE 230",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802191",
            "telephone_number": "585-671-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE DENTAL TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "585-671-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matt@jvioladental.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1695 Empire Blvd Ste 230",
            "city": "Webster",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145802191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hagen Movement Institute
• Caitlin Elizabeth Halloran, LMHC
• Rachel Anne Hance
• Jennie Lynn Hansen, P.T.
• Tyler K Harasta, MD
• Linda A Harris, LCSWR
• Emily Marie Hart, PHARMD
• Lori A Hart, OTR
• Emily Rose Hartman, MSN, PNP
• Scott Gregory Hartman, MD

• Dental Clinic/Center in Webster, NY
• Providers in Webster, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.