NPIMap

Organization Active NPI

Oswego Dental Health Associates, PLLC

  • General Practice Dentistry
  • Oswego, NY
National Provider Identifier
1982361531
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OSWEGO DENTAL HEALTH ASSOCIATES, PLLC
Practice address
12 New St
Oswego, NY 13126-1764
Phone
(315) 342-5800
NPI assigned
Nov 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Katy Burns
Title
Insurance Coordinator
Phone
(315) 638-0276

Specialties & licenses 1

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

Addresses

Primary practice location

12 New St
Oswego, NY 13126-1764

Mailing address

12 New St
Oswego, NY 13126-1764
Phone (315) 342-5800

National Provider Directory

National Provider Directory

Locations

12 New St
Oswego, NY 13126
Phone (315) 342-5800

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1982361531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEW ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261764",
            "telephone_number": "315-342-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NEW ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261764",
            "telephone_number": "315-342-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSWEGO DENTAL HEALTH ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "315-638-0276"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.