NPIMap

Organization Active NPI

Palma and Nardozza Dental Services

Doing business as Village Dental Group

  • General Practice Dentistry
  • Central Square, NY
National Provider Identifier
1871226464
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PALMA AND NARDOZZA DENTAL SERVICES
Doing business as
Village Dental Group
Practice address
537 S Main St
Central Square, NY 13036-3505
Phone
(315) 676-3001
NPI assigned
Jul 1, 2022
Last updated
Jul 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PALMA AND NARDOZZA DENTAL SERVICES PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Casey Morse
Title
Authorized Official
Phone
(856) 272-4735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

537 S Main St
Central Square, NY 13036-3505

Mailing address

PO Box 4008
Lancaster, PA 17604-4008
Phone (856) 272-4735

Other identifiers 1

IdentifierTypeStateIssuer
042879OtherNYNEW YORK STATE BOARD OF DENTISTRY

Other names 1

  • Village Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palma and Nardozza Dental Services4 organizations share this tax ID, including this one
Part of
Palma and Nardozza Dental Services

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

537 S Main St
Central Square, NY 13036
Phone (315) 668-2659

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1871226464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4008",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176044008",
            "telephone_number": "856-272-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 S MAIN ST",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130363505",
            "telephone_number": "315-676-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMA AND NARDOZZA DENTAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMA AND NARDOZZA DENTAL SERVICES PC",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "856-272-4735"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE BOARD OF DENTISTRY",
            "identifier": "042879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Central Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.