DR. PEDRO MARIO ALVAREZ JR. (NPI# 1063446771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063446771 |
| Entity Type | Individual |
| Full Name | DR. PEDRO MARIO ALVAREZ JR. |
| Credential | DDS |
| Practice Address |
4 Commerce Ln Canton NY 13617-3739 |
| Practice Telephone | 3153868191 |
| Practice Fax Number | 3153861410 |
| Mailing Telephone | 3153868191 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
32174 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518287507 | Pedro Mario Alvarez IIi | Dentist | 23076 Three Notch Rd Ste 203, California, MD 20619-2442 | 2010-06-02 |
| 1215261144 | Pedro Enrique Alvarez | Family Medicine | 5835 Bissonnet St, Bellaire, TX 77401-4719 | 2009-09-24 |
| 1235271255 | Pedro Alvarez | Dentist | 8020 Nw 166th St, Miami Lakes, FL 33016-3420 | 2007-02-13 |
| 1417945619 | Pedro Gabriel Alvarez | Family Medicine | 7150 W 20th Ave Ste 607, Hialeah, FL 33016-5534 | 2005-10-11 |
| 1043717218 | Pedro Alvarez | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr Ste 250, San Jose, CA 95128-1644 | 2018-04-12 |
| 1285979716 | Pedro Miguel Alvarez | Specialist/Technologist, Other | 7324 Southwest Freeway Suite 1550, Houston, TX 77074-2053 | 2012-12-10 |
| 1528035391 | Pedro M Alvarez | Obstetrics & Gynecology | 1733 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-03-01 |
| Street Address |
4 COMMERCE LN |
| City | CANTON |
| State | NY |
| Zip Code | 13617-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467432765 | United Cerebral Palsy Association of The North Country, Inc. | Clinic/Center | 4 Commerce Ln, Canton, NY 13617-3739 | 2006-01-20 |
| 1255962551 | Isabelle Anne Young | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2020-01-27 |
| 1326503988 | Abby K Philbrick | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2019-02-07 |
| 1356858724 | Donna Gokey | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2018-01-06 |
| 1528596103 | Shannon Leclair | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2017-05-26 |
| 1255868998 | Jill Guiles | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2017-05-12 |
| 1861869703 | Jackline B Ngalame | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2015-08-26 |
| 1700260221 | Christine Couperus-mashewske | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2015-07-14 |
| 1336521236 | Miranda Groebler | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2015-06-26 |
| 1316287378 | Keri E. Caracciolo | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2013-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760008361 | Portable Smiles Mobile Inc | Dentist | 519 Pinehurst Dr, Canton, MI 48188-3078 | 2020-06-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1669014403 | Flossed LLC | Dentist | 500 Chapman St Unit 201, Canton, MA 02021-2040 | 2019-10-14 |
| 1164078960 | Caleb Jonathon Fuller | Dentist | 46592 W Oak Manor Ct, Canton, MI 48187-5230 | 2019-08-16 |
| 1518527191 | Pediatric Dentistry | Dentist | 45535 Hanford Rd, Canton, MI 48187-4595 | 2019-06-17 |
| 1710546148 | Georgia Dental Professionals, PC | Dentist | 8022 Cumming Hwy, Canton, GA 30115-9337 | 2019-06-10 |
| 1891267316 | Canton Marketplace Dentistry LLC | Dentist | 1810 Cumming Hwy Ste 900, Canton, GA 30115-2999 | 2018-12-21 |
| 1548754252 | Ashvi Mittal | Dentist | 248 Taylors Farm Dr, Canton, GA 30115-9023 | 2018-06-15 |
| 1285127605 | Cameron Parker Demarsh | Dentist | 2414 Whipple Ave Nw, Canton, OH 44708-1514 | 2018-06-11 |
| 1184146318 | Cherokee Family Dental East Cherokee LLC | Dentist | 7768 Cumming Hwy Ste 100, Canton, GA 30115-2982 | 2017-07-10 |
| Find all providers in CANTON | ||||
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| 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.