SOUTHERN TIER FAMILY DENTISTRY, PC (NPI# 1154712677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154712677 |
| Entity Type | Organization |
| Organization Name | SOUTHERN TIER FAMILY DENTISTRY, PC |
| Practice Address |
230 E Main St Falconer NY 14733-1318 |
| Practice Telephone | 7166659484 |
| Mailing Telephone | 7166659484 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |
| Authorized Official Name | DR. JAMES HARRIS MITCHENER (PRESIDENT) |
| Authorized Official Telephone | 7166659484 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
054513 | NY | Ambulatory Health Care Facilities |
| Street Address |
230 E MAIN ST |
| City | FALCONER |
| State | NY |
| Zip Code | 14733-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689818288 | James Mitchener | Dentist | 230 E Main St, Falconer, NY 14733-1318 | 2009-04-27 |
| 1104047661 | Linda Sue Bowman | Dentist | 230 E Main St, Falconer, NY 14733-1318 | 2007-05-01 |
| 1942387477 | Neil E Hedin | Chiropractor | 230 E Main St, Falconer, NY 14733-1318 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649624313 | Winchester Stuart | Dentist | 230 East Main St., Falconer, NY 14733 | 2016-04-19 |
| 1336282284 | Roger A Erickson | Dentist | 1 East Main St., Hsbc Bank Building, Falconer, NY 14733 | 2007-02-14 |
| 1174022909 | Danielle M Conroe | Registered Nurse | 18 Elmeere Ave, Falconer, NY 14733-1011 | 2018-02-07 |
| 1619134442 | Beth Anne Kruse | Speech-Language Pathologist | 129 E Mosher St, Falconer, NY 14733-1225 | 2008-05-20 |
| 1679630040 | Falconer Central School | Local Education Agency (LEA) | 2 East Ave N, Falconer, NY 14733-1302 | 2007-01-03 |
| 1801378450 | Marah Micek | Speech-Language Pathologist | 2 East Ave N, Falconer, NY 14733-1302 | 2018-08-30 |
| 1386914471 | Krystle Marie Haglund | Speech-Language Pathologist | 2 East Ave N, Falconer, NY 14733-1302 | 2012-01-05 |
| 1376918193 | Matthew Titus | Pharmacist | 210 E Everett St, Falconer, NY 14733-1310 | 2015-12-04 |
| 1215030051 | Cvs Albany LLC | Pharmacy | 10 S Work St, Falconer, NY 14733-1329 | 2006-09-07 |
| 1598362659 | Ryan Peter Domagala | Pharmacist | 10 S Work St, Falconer, NY 14733-1329 | 2020-10-01 |
| Find all providers in zip 14733 | ||||
| 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 | ||||
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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.