Alden Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALDEN DENTAL PLLC

Practice address

12763 Broadway St
Alden, NY 14004-9569

Phone

(716) 902-6402

NPI assigned

Jul 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Chad Froebel, DDS

Title

Member

Phone

(716) 902-6402

Specialties & licenses 1

Addresses

Other names 1

• East Town Dental Doing business as

Locations

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972026904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12763 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140049569",
            "telephone_number": "716-902-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12763 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140049569",
            "telephone_number": "716-902-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FROEBEL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "716-902-6402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Town Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanjeev Ahuja, MD
• Alden Central School District
• Alden Counseling & Wellness, LLC
• Alden Family Dentistry
• Alden Medical Group, PLLC
• Alden Medical Supply LLC
• Alden Mental Health Counseling Wellness, PLLC
• Alden Physical Therapy, PC

• All providers in Alden, NY
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.