Organization Active NPI

Synergy Dental Care

  • Dentist
  • Liverpool, NY
National Provider Identifier
1679211494
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SYNERGY DENTAL CARE
Practice address
913 Old Liverpool Rd Ste D
Liverpool, NY 13088-5571
Phone
(315) 457-1014
NPI assigned
May 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Dr. Eduardo Aguilar, DDS
Title
Dentist/Owner
Phone
(315) 457-1014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

913 Old Liverpool Rd Ste D
Liverpool, NY 13088-5571

Mailing address

913 Old Liverpool Rd Ste D
Liverpool, NY 13088-5571
Phone (315) 457-1014

National Provider Directory

National Provider Directory

Locations

913 Old Liverpool Rd
Ste D
Liverpool, NY 13088
Phone (315) 457-1014

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1679211494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 OLD LIVERPOOL RD STE D",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885571",
            "telephone_number": "315-457-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 OLD LIVERPOOL RD STE D",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885571",
            "telephone_number": "315-457-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "315-457-1014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.