Baybrook Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

044937 Issued in NY

Legal business name

BAYBROOK DENTAL GROUP

Practice address

31 Willowbrook Rd
Queensbury, NY 12804-5864

Phone

(518) 792-5103

Fax

(518) 792-5110

NPI assigned

May 9, 2016

Last updated

May 9, 2016By 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. Gina Marie Canale, D.M.D.

Title

President

Phone

(518) 792-5103

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1689020679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WILLOWBROOK RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045864",
            "telephone_number": "518-792-5103",
            "fax_number": "518-792-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WILLOWBROOK RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045864",
            "telephone_number": "518-792-5103",
            "fax_number": "518-792-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYBROOK DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "CANALE",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-792-5103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendee K Basinger, OTR/L
• Elizabeth Ashley Batchelder, RDH
• Alexander Battista
• Bay Ridge Rescue Squad (Queensbury EMS)
• Jeffrey Bay
• Baywood Surgical Associates, PC
• Barbara Waldron Beaulac, PT
• Kaitlyn Beecher
• Behavioral Health Services North, Inc.
• Bell and Callaghan Chiropractors, PC

• Dentist in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.