FINGER LAKES PERIODONTICS PLLC (NPI# 1285171926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285171926 |
| Entity Type | Organization |
| Organization Name | FINGER LAKES PERIODONTICS PLLC |
| Practice Address |
600 Kreag Rd Pittsford NY 14534-3746 |
| Practice Telephone | 5852488195 |
| Practice Fax Number | 5852488256 |
| Mailing Telephone | 5852488195 |
| Mailing Fax Number | 5852488256 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |
| Authorized Official Name | DR. SEAN W MEITNER (PARTNER) |
| Authorized Official Telephone | 5852488195 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
056700 | NY | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
031468 | NY | Dental Providers |
| Street Address |
600 KREAG RD |
| City | PITTSFORD |
| State | NY |
| Zip Code | 14534-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568421188 | Peter T Deloe | Chiropractor | 600 Kreag Rd, Pittsford, NY 14534-3746 | 2006-03-22 |
| 1245430503 | Hanson Dental Practice, Pllc | Dentist | 600 Kreag Rd, Pittsford, NY 14534-3746 | 2007-07-24 |
| 1730389156 | David A Hanson | Dentist | 600 Kreag Rd, Pittsford, NY 14534-3746 | 2007-07-24 |
| 1124228671 | Eric D. Hanson | Dentist | 600 Kreag Rd, Pittsford, NY 14534-3746 | 2007-07-23 |
| 1164570792 | Sean W Meitner | Dentist | 600 Kreag Rd, Pittsford, NY 14534-3746 | 2007-01-08 |
| 1306860648 | Thomas John Destefano | Dentist | 600 Kreag Rd, Pittsford, NY 14534-3746 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273882 | Arbor Health Inc | Nutritionist | 613 Pittsford Victor Rd, Pittsford, NY 14534 | 2020-07-23 |
| 1619448990 | Azita Anissi Dds | Dentist | 121 Sullys Trail Suite 1, Pittsford, NY 14534 | 2018-12-11 |
| 1831697309 | Meaza Teklemariam | Registered Nurse | 2 Pin Hook Lane, Pittsford, NY 14534 | 2018-01-30 |
| 1386099356 | Bryan Robert Harrison | Psychologist | 610 Pittsford Victor Rd, Pittsford, NY 14534 | 2016-04-27 |
| 1942677323 | Dr. Anthony L. Ricci, Dds | Dentist | 135 Sully's Trail Suite 1, Pittsford, NY 14534 | 2015-09-01 |
| 1164782132 | George Francis Walsh Jr. | Obstetrics & Gynecology | 16 Kerrygold Way, Pittsford, NY 14534 | 2012-05-23 |
| 1346531878 | Samantha Lynne Saccento | Massage Therapist | 135 Sully's Trail Suite 6, Pittsford, NY 14534 | 2011-05-02 |
| 1093027252 | Brandon James Erdle | Dermatology | 6 Rambling Woods, Pittsford, NY 14534 | 2010-07-05 |
| 1760711576 | Finger Lakes Infectious Diseases, Pllc | Internal Medicine | 10 Brakenberry Road, Pittsford, NY 14534 | 2009-12-08 |
| 1477789030 | Mary Lou Testa | Counselor | 20 Tobey Village Way, Suite 7, Pittsford, NY 14534 | 2009-06-09 |
| Find all providers in zip 14534 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114098142 | Josue Padilla | Dentist | 39 Stonebury Xing, Pittsford, NY 14534 | 2006-11-13 |
| 1033219555 | Suresh Narain Goel | Dentist | 151 Sullys Trl, Suite #1, Pittsford, NY 14534-4562 | 2006-09-24 |
| 1235551557 | Pragtipal Saini | Dentist | 151 Sullys Trl, Suite 1, Pittsford, NY 14534-4562 | 2014-01-07 |
| 1235260688 | Suresh N Goel Dds PC | Dentist | 151 Sullys Trl, Progressive Implantology & Periodontics, Pittsford, NY 14534-4562 | 2007-03-08 |
| 1164570792 | Sean W Meitner | Dentist | 600 Kreag Rd, Pittsford, NY 14534-3746 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052068 | Tamar Friling | Dentist | 247 3rd Ave Rm 203, New York, NY 10010-7453 | 2020-11-01 |
| 1851901896 | Kristen Brocavich | Dentist | 150 Islip Ave Ste 11, Islip, NY 11751-3222 | 2020-08-04 |
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1346710241 | Bedford Hills Dental P.C. | Dentist | 3 Depot Plz, Bedford Hills, NY 10507-1807 | 2018-12-04 |
| 1093295735 | Giffords Dental, P.C. | Dentist | 79 Giffords Ln, Staten Island, NY 10308-2411 | 2018-08-21 |
| 1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
| 1639655764 | Kiss Dental Care Pllc | Dentist | 425 Robinson Ave Ste 4, Newburgh, NY 12550-3303 | 2018-07-11 |
| 1689189524 | Mid Island Dental Specialists, PC | Dentist | 400 S Oyster Bay Rd Ste 201, Hicksville, NY 11801-3500 | 2017-12-13 |
| 1477068906 | Mohammad Reshad | Dentist | 230 Riverside Dr Apt 10m, New York, NY 10025-6192 | 2017-12-06 |
| 1043724479 | Ioana Chesnoiu Matei | Dentist | 630 W 168th St Rm 7-200c, New York, NY 10032-3725 | 2017-11-21 |
| 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.