NPIMap

Organization Active NPI

Salina Family Dental PC

  • General Practice Dentistry
  • North Syracuse, NY
National Provider Identifier
1700955762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0305001 Issued in NY
Legal business name
SALINA FAMILY DENTAL PC
Practice address
6846 Buckley Road
North Syracuse, NY 13212
Phone
(315) 457-7393
Fax
(315) 457-7396
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wilson Dandato Sithole, DDS MPHNPI 1215925557
Title
President Owner
Phone
(315) 457-7393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2826 DC
General Practice Dentistry 1223G0001X 0305001 NY Primary

Addresses

Primary practice location

6846 Buckley Road
North Syracuse, NY 13212

Mailing address

Salina Family Dental PC
6846 Buckley Road
North Syracuse, NY 13212
Phone (315) 457-7393

Other identifiers 1

IdentifierTypeStateIssuer
02512852MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700955762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SALINA FAMILY DENTAL PC",
            "address_2": "6846 BUCKLEY ROAD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-457-7393",
            "fax_number": "315-457-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6846 BUCKLEY ROAD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-457-7393",
            "fax_number": "315-457-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINA FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SITHOLE",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "DANDATO",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "315-457-7393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MPH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "2826",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0305001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02512852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.