Syracuse Dental Associates PLLC

Key facts

NPI

1962533547

Entity type

Organization (NPI type 2)

Primary specialty

General Practice Dentistry 1223G0001X

License

052304 (NY)

Legal business name

SYRACUSE DENTAL ASSOCIATES PLLC

Practice address

801 N Salina St
Syracuse, NY 13208-2512

Phone

(315) 422-1305

Fax

(315) 422-3133

NPI assigned

Mar 8, 2007

Organization subpart

No

Authorized official

Name

Mrs. Amy E Winters

Title

Manager

Phone

(315) 422-1305

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Richard Bonacci, DDS General Practice Dentistry · Syracuse, NY · NPI 1740327188
  NPD (past) GENERAL PRACTICE
• Sara Beth Bonacci, D.D.S. General Practice Dentistry · Syracuse, NY · NPI 1144352527
  NPD (past) GENERAL PRACTICE
• David Michael Caryl, D.D.S. General Practice Dentistry · Syracuse, NY · NPI 1447482492
  NPD (past) GENERAL PRACTICE
• Jourdan H Freed, D.D.S. General Practice Dentistry · Syracuse, NY · NPI 1770615155
  NPD (past) GENERAL PRACTICE
• William CC Whalen, DDS General Practice Dentistry · Syracuse, NY · NPI 1255340121
  NPD (past) GENERAL PRACTICE
• Christian Haglund Woodhead, D.D.S. Dentist · Syracuse, NY · NPI 1245346147
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 22, 2012.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356134400000",
    "number": "1962533547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11170",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132181170",
            "telephone_number": "315-422-1305",
            "fax_number": "315-422-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082512",
            "telephone_number": "315-422-1305",
            "fax_number": "315-422-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-12-22",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "315-422-1305",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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