Fedwards Dental PC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

FEDWARDS DENTAL PC

Doing business as

West Brighton Dental ON AMBOY

Practice address

2781 Amboy Rd
Staten Island, NY 10306-2157

Phone

(718) 273-1011

Fax

(718) 273-0308

NPI assigned

Sep 14, 2023

Last updated

Oct 11, 2024By 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. William F Edwards, DDSNPI 1215028535

Title

Owner /DDS

Phone

(718) 273-1101

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• West Brighton Dental ON AMBOY Doing business as

Locations

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.

• William Felix Edwards, D.D.S.

  • Dentist
  • Staten Island, NY
  • NPI 1215028535

  Dental Public Health

  NPD Authorized official

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1720866452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062157",
            "telephone_number": "718-273-1101",
            "fax_number": "718-273-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062157",
            "telephone_number": "718-273-1011",
            "fax_number": "718-273-0308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Hylan Blvd Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103126505",
            "country_code": "US",
            "telephone_number": "718-948-0870",
            "fax_number": "718-273-0308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1082 Castleton Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103101710",
            "country_code": "US",
            "telephone_number": "718-727-7026",
            "fax_number": "718-273-0308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FEDWARDS DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER /DDS",
        "authorized_official_telephone_number": "718-273-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124289491",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02353313",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05296222",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Brighton Dental ON AMBOY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah C Feder
• Galina Fedorenko
• Alina Fedorov
• Oksana Fedortsi, L.AC.
• Vladimir Fedosseev, PT, DPT
• Deanna Feierman, MHC-LP
• Suzanne Feigenbaum
• Katherine Lily Feinberg
• Daniel Feiner, O.D.
• Erica Shari Feinman, LMSW

• Public Health Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Public Health Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.