Charbel Ghosn DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHARBEL GHOSN DMD PLLC

Practice address

271 Grant Ave Ste 200
Auburn, NY 13021-1407

Phone

(315) 252-8500

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Charbel Ghosn

Title

Owner

Phone

(315) 252-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1811651011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 GRANT AVE STE 200",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211407",
            "telephone_number": "315-252-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARBEL GHOSN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "GHOSN",
        "authorized_official_first_name": "CHARBEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-252-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Bates Chaffee Jr., D.D.S.
• Dorothy Ann Chalker, BSN
• Erin Chalupnicki, ANP
• Kathryn Anne Chambers, MSNANP
• Mary Lou Chappell, NP CNM
• Jessica L Charbonneau, LCSW
• Payton Aurora Charles
• Philip Chebaya, MD
• Joanne E Chekansky, NP
• Cheri Wakeham Counseling, LLC

• General Practice Dentistry in Auburn, NY
• Providers in Auburn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.