NPIMap

Organization Active NPI

Fulton Dental Health Assoc

  • General Practice Dentistry
  • Fulton, NY
National Provider Identifier
1932290210
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FULTON DENTAL HEALTH ASSOC
Practice address
205 Oneida Street
Fulton, NY 13069
Phone
(315) 598-3700
Fax
(315) 598-7269
NPI assigned
Sep 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shelden N Sacks, DMDNPI 1457335960
Title
President Owner
Phone
(315) 598-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

205 Oneida Street
Fulton, NY 13069

Mailing address

205 Oneida Street
Fulton, NY 13069

Other names 1

  • Dental Health Associates Oswergo Other name

National Provider Directory

National Provider Directory

Locations

205 Oneida St
Fulton, NY 13069
Phone (315) 598-3700

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932290210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ONEIDA STREET",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "13069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ONEIDA STREET",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "13069",
            "telephone_number": "315-598-3700",
            "fax_number": "315-598-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON DENTAL HEALTH ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "SHELDEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "315-598-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Health Associates Oswergo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fulton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.