SPRUCE DENTAL (NPI# 1013484682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013484682 |
| Entity Type | Organization |
| Organization Name | SPRUCE DENTAL |
| Practice Address |
76 Spruce St Cedarhurst NY 11516-2018 |
| Practice Telephone | 5152953826 |
| Mailing Telephone | 5152953826 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Authorized Official Name | ALLON WALTUCH (DENTIST) |
| Authorized Official Telephone | 5152953826 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Implant Dentistry and Oral Restoration | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770860173 | Spruce Dental | Dentist | 939 E. Park Row Dr, Arlington, TX 76010 | 2011-11-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SPRUCE DENTAL PLLC | 170 Hamilton Avenue, Suite 318, White Plains, Ny 10601 |
| Street Address |
76 SPRUCE ST |
| City | CEDARHURST |
| State | NY |
| Zip Code | 11516-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306811997 | David M. Jacobowitz | Dentist | 76 Spruce St, Cedarhurst, NY 11516-2018 | 2006-02-17 |
| 1851529556 | Michael Klein | Dentist | 76 Spruce St, Cedarhurst, NY 11516-2018 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1013518638 | Well Med Medical PC | Internal Medicine | 140a Washington Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1336648252 | Daniel M Horowitz | Physical Therapist | 673 Park Lane, Cedarhurst, NY 11516 | 2018-02-06 |
| 1558757203 | Fraidy Horwitz | Dietitian, Registered | 527 Central Place, Cedarhurst, NY 11516 | 2015-04-09 |
| 1760800668 | Spruce Rx, Inc. | Pharmacy | 127a Spruce Street, Cedarhurst, NY 11516 | 2014-03-29 |
| 1578907358 | Rebecca Twerski Ganz | Psychologist | 528 Willow Ave, Cedarhurst, NY 11516 | 2013-04-23 |
| 1235472770 | Karim A. Badawy | Podiatrist | 551 Central Ave Suite 21a, Cedarhusrt, NY 11516 | 2013-04-03 |
| 1043592959 | Nicole T Hamburger | Speech-Language Pathologist | 611 Carlylye St, Cedarhurst, NY 11516 | 2011-09-16 |
| 1407153489 | Wendy Joy Grand | Social Worker | 2 Reilly Rd, Lawrence High School, Cedarhurst, NY 11516 | 2011-02-28 |
| 1518269976 | Susan Zora Gottlieb | Speech-Language Pathologist | 445 Central Ave, Suite 111, Cedarhurst, NY 11516 | 2010-11-17 |
| Find all providers in zip 11516 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380246 | Charles R Hoeg Dmd PC | Clinic/Center | 45 Route 25a Ste A1, Shoreham, NY 11786-1389 | 2020-09-10 |
| 1801409016 | Daniel Babadzhanov Dmd Pllc | Clinic/Center | 7025 Yellowstone Blvd Ste 1o, Forest Hills, NY 11375-3165 | 2020-08-26 |
| 1417567611 | Hudson River Dental | Clinic/Center | 1 Baltic Pl Ste 104, Croton On Hudson, NY 10520-1642 | 2020-08-03 |
| 1316556897 | Bridget E. Sweeney, Dds, Pllc | Clinic/Center | 6043 Transit Road, Suite 102, Clarence, NY 14031 | 2020-07-30 |
| 1679182919 | Avalon Dental, PC | Clinic/Center | 20103 Northern Blvd Fl 1, Flushing, NY 11361-2563 | 2020-07-22 |
| 1104442706 | Igor Dekhkanov Dds PC | Clinic/Center | 438 Graham Ave Fl 1, Brooklyn, NY 11211-1415 | 2020-06-19 |
| 1245852334 | Walter G Neuhaus Dds PC | Clinic/Center | 2825 Niagara Falls Blvd Ste 170, Amherst, NY 14228-2000 | 2020-05-12 |
| 1487274445 | Rock A Smile Dental Studio Pllc | Clinic/Center | 9708 Rockaway Blvd, Ozone Park, NY 11417-1615 | 2020-04-20 |
| 1033738414 | Samina Haque Dmd Pllc | Clinic/Center | 25012 Hillside Ave Ste A, Bellerose, NY 11426-2139 | 2020-04-15 |
| 1366077844 | New York Dental Care, Pllc | Clinic/Center | 124 E 40th St Rm 302, New York, NY 10016-1723 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | CEDARHURST |
| Zip Code | 11516 |
Please comment or provide details below to improve the information on SPRUCE DENTAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.