Richmondville Family Dental Practice, PLLC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RICHMONDVILLE FAMILY DENTAL PRACTICE, PLLC.

Practice address

303 Main St.
Richmondville, NY 12149-0492

Phone

(518) 294-6015

Fax

(518) 294-6017

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Victoria June Chichester

Title

Office Manager

Phone

(518) 294-6015

Specialties & licenses 1

Addresses

Practitioners 1

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

• Omar M. Alwakfi, D.M.D.

  • General Practice Dentistry
  • Richmondville, NY
  • NPI 1770647398
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1689878670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492",
            "address_2": "303 MAIN ST",
            "city": "RICHMONDVILLE",
            "state": "NY",
            "postal_code": "121490492",
            "telephone_number": "518-294-6015",
            "fax_number": "518-294-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MAIN ST.",
            "city": "RICHMONDVILLE",
            "state": "NY",
            "postal_code": "121490492",
            "telephone_number": "518-294-6015",
            "fax_number": "518-294-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMONDVILLE FAMILY DENTAL PRACTICE, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "CHICHESTER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-294-6015",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Erica Kelly
• Maranatha Family Center, LLC
• Northland Hearing Center, Inc.
• Northland Hearing Centers, Inc.
• Precision Physical Therapy and Sports Medicine PLLC
• Richmondville Volunteer Emergency Squad Inc
• Ann Roe, RN
• Siri Young, LCSW

• General Practice Dentistry in Richmondville, NY
• Providers in Richmondville, 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 Aug 22, 2007; 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.