Jonathan Shaya Sessler

Individual provider Active NPI General Practice Dentistry · Cuba, NY

NPI 1962088997 · NPPES record last updated May 14, 2024

Key facts

NPI
1962088997
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
062571 (NY)
Practice address
18 Center St
Cuba, NY 14727-1002
Phone
(585) 968-8400
NPI assigned
Mar 21, 2021
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
062571NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven R Sessler DDS PC General Practice Past
since May 19, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 062571 NY Yes

Addresses

Primary practice location

18 Center St
Cuba, NY 14727-1002

Mailing address

5 Beacon Park Apt L
Amherst, NY 14228-2573
Phone (716) 984-3027

Other providers in Cuba, NY

All providers in Cuba, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.