Genuine Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051314 Issued in NY

Legal business name

GENUINE DENTAL PC

Practice address

91 Lakes Rd
Monroe, NY 10950-2613

Phone

(845) 709-0571

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Siamak Barkhordar, D.D.S.

Title

Owner

Phone

(845) 709-0571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1932372976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARK DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771008",
            "telephone_number": "845-709-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 LAKES RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502613",
            "telephone_number": "845-709-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "BARKHORDAR",
        "authorized_official_first_name": "SIAMAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-709-0571",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa M Gau, LMHC
• Hannah Gelernter
• Michael Genkin, D.P.M
• Genovese Drug Stores Inc
• Alyssa Gentile
• Geo Taxi Services Inc.
• Irene Eva Geosits
• Anna-Grace Gerber
• Irene Ghali
• Lawrence Gilbert, D.D.S.

• General Practice Dentistry in Monroe, NY
• Providers in Monroe, 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 Apr 10, 2008; 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.