Pavel Tsur-Tsar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050598 Issued in NY

Practice address

2120 W. Spring St
#1100
Monroe, GA 30655

Phone

(716) 636-1399

Fax

(716) 636-1389

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1760524508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W SPRING ST",
            "address_2": "#1100",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306553197",
            "telephone_number": "716-636-1399",
            "fax_number": "716-636-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W. SPRING ST",
            "address_2": "#1100",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "30655",
            "telephone_number": "716-636-1399",
            "fax_number": "716-636-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUR-TSAR",
        "first_name": "PAVEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transcendent Personal Care LLC
• Transitional Care Physicians of Georgia PC
• Sheri O Traylor, RN
• Tree of Life Health Alliance LLC
• Lidiya Ilievna Trifoi
• Kimberly Stancil Turner, M.D.
• Nancy Turpin, PT, CERT MDT, TDPT
• Scottie Lauren Tuttle, NP-C
• Usrc Monroe, LLC
• Morgan Rosalia Vanbuul, MIDWIFE, LAY

• General Practice Dentistry in Monroe, GA
• Providers in Monroe, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.