Aspen Dental of Central New York
Organization Active NPI General Practice Dentistry · N Syracuse, NY
NPI 1578780656 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1578780656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ASPEN DENTAL OF CENTRAL NEW YORK
- Practice address
- 124 Northern Lights Dr
N Syracuse, NY 13212-4108 - Phone
- (315) 454-6000
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Isam Hamati
- Title
- MCD
- Phone
- (315) 454-6000
National Provider Directory
Locations
124 Northern Lights Dr
Syracuse, NY 13212
Phone (315) 455-2411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
124 Northern Lights Dr
N Syracuse, NY 13212-4108
Mailing address
124 Northern Lights Dr
N Syracuse, NY 13212-4108
Phone (315) 455-2411
Other providers in N Syracuse, NY
- Simone Charise Adams
- David Arndt
- Atwal Sleep & Wellness LLC
- Robert R Battaglia
- Halina Bierciewska
- Victor Herbert Bonin
- Branches of Growth, LLC
All providers in N Syracuse, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.