NPIMap

Organization Active NPI

Gentle Dentistry of Lancaster, PLLC

  • General Practice Dentistry
  • Syracuse, NY
National Provider Identifier
1700545985
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GENTLE DENTISTRY OF LANCASTER, PLLC
Practice address
3150 Erie Blvd E Ste 100
Syracuse, NY 13214-1304
Phone
(315) 446-7442
NPI assigned
Dec 15, 2021
Organization subpart
Yes
Parent organization
HEARTLAND DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Hillary Thull
Title
Credentialing Coordinator
Phone
(217) 540-8946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3150 Erie Blvd E Ste 100
Syracuse, NY 13214-1304

Mailing address

3150 Erie Blvd E Ste 100
Syracuse, NY 13214-1304

Other names 1

  • Syracuse Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentle Dentistry of Lancaster PLLC19 organizations share this tax ID, including this one
Part of
Gentle Dentistry of Lancaster PLLC

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

3150 Erie Blvd E
Ste 100
Syracuse, NY 13214
Phone (315) 446-7442

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1700545985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ERIE BLVD E STE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ERIE BLVD E STE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141304",
            "telephone_number": "315-446-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTISTRY OF LANCASTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "THULL",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8946"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syracuse Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.