DR. PAM BOUTON (NPI# 1275956450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275956450 |
| Entity Type | Individual |
| Full Name | DR. PAM BOUTON |
| Credential | DDS |
| Practice Address |
153 Main St Owego NY 13827-1579 |
| Practice Telephone | 6076877536 |
| Mailing Telephone | 6076877536 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 044603 | NY | Dental Providers |
| Street Address |
153 MAIN ST |
| City | OWEGO |
| State | NY |
| Zip Code | 13827-1579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811029 | Tyler Ronald Windhausen | Pharmacist | 153 Main St, Owego, NY 13827-1779 | 2020-11-05 |
| 1295384014 | Andrew Justen Nielsen | Pharmacist | 153 Main St, Owego, NY 13827-1779 | 2019-09-04 |
| 1457856767 | James Michael Kugler | Pharmacist | 153 Main St, Owego, NY 13827 | 2018-03-28 |
| 1942725262 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 153 Main St, Owego, NY 13827-1779 | 2017-08-08 |
| 1679922736 | Sarah Zafar | Pharmacist | 153 Main St, Owego, NY 13827-1779 | 2016-06-09 |
| 1538481148 | Erika N Bronk | Pharmacist | 153 Main St, Owego, NY 13827-1579 | 2010-02-23 |
| 1659549376 | Ruth A Mitchell | Social Worker | 153 Main St, Owego, NY 13827-1579 | 2008-02-15 |
| 1932389301 | Rebecca Marie Vanpatten | Pharmacist | 153 Main St, Owego, NY 13827-1579 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003390451 | Michele Smith Morey | Licensed Practical Nurse | 4476 Rt38, Owego, NY 13827 | 2018-09-21 |
| 1811487259 | Kaitlin Osborne | Specialist/Technologist | 1 Sheldon Guile Blvd, Owego, NY 13827 | 2018-05-11 |
| 1306388244 | Susan Medina | Dental Hygienist | 1062 State Rt 38, Suite 120, Owego, NY 13827 | 2016-11-09 |
| 1063775476 | Kimberly Anne Derouchie | Early Intervention Provider Agency | 1062 Rt. 38, Owego, NY 13827 | 2012-06-20 |
| 1992020713 | Christy Bianconi | Social Worker | 819 S. Salina St., Syracuse, NY 13827 | 2010-04-05 |
| 1578793543 | Donna Marie Delvecchio | Pharmacist | 39 Park Avenue, Owego, NY 13827 | 2009-07-23 |
| 1689827875 | Jennifer Iglthaler | Occupational Therapist | 1695 Glen Allen Road, Owego, NY 13827 | 2008-10-31 |
| 1104079698 | Mary N. Gilfoyle | Speech-Language Pathologist | 1 Christa Mcauliffe Drive, Owego, NY 13827 | 2008-10-28 |
| 1710026042 | Delos Christian Aumock | Dentist | 230 Front St, Owego, NY 13827 | 2007-02-05 |
| 1043357957 | Anthony Owens | Counselor | 8 Lincolnshire Blvd, Owego, NY 13827 | 2007-01-31 |
| Find all providers in zip 13827 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710026042 | Delos Christian Aumock | Dentist | 230 Front St, Owego, NY 13827 | 2007-02-05 |
| 1801901004 | Matthew Kelley Cook | Dentist | 218 Front St, Owego, NY 13827 | 2006-08-20 |
| 1205969052 | Pam Bouton Dds | Dentist | 153 Main Street, Owego, NY 13827 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1336749530 | Suffolk Dental Care, PC | Dentist | 3650 Route 112 Ste 105, Coram, NY 11727-4131 | 2020-10-27 |
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1316553613 | Hihland Falls Dental Associate | Dentist | 70 Villa Pkwy, Highland Falls, NY 10928-1615 | 2020-09-22 |
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1255945945 | Derek Lin | Dentist | 10750 Queens Blvd Ste 2, Forest Hills, NY 11375-4266 | 2020-09-01 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1194334607 | Asnis Dental Pllc | Dentist | 112 Alexander Ave Unit A, Lake Grove, NY 11755-0429 | 2020-07-30 |
| 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.