Complete Dental Care, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

051103 Issued in NY

Legal business name

COMPLETE DENTAL CARE, PC

Practice address

1019 Park St
Suite 201
Peekskill, NY 10566-3814

Phone

(914) 737-1911

Fax

(914) 737-1943

NPI assigned

Mar 26, 2012

Last updated

Mar 26, 2012By 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. Joshua D Ilan, DDS

Title

President

Phone

(914) 737-1911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1750657557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PARK ST",
            "address_2": "SUITE 201",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105663814",
            "telephone_number": "914-737-1911",
            "fax_number": "914-737-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 PARK ST",
            "address_2": "SUITE 201",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105663814",
            "telephone_number": "914-737-1911",
            "fax_number": "914-737-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "ILAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-737-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "051103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Clark
• Joanne Clough
• Jason Cole, REGISTERED NURSE
• Malika Cole, LPN
• Salinas Colon
• Mafalda Carlucci Conway, L.P.N.
• Samuel Cooperberg, LMSW
• Victoria Cordero
• Sonia Cornejo
• Maria R. Corsaro, CNM

• Dental Clinic/Center in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.