DR. KALEIGH MARIE NAMIOTKA (NPI# 1366967663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366967663 |
| Entity Type | Individual |
| Full Name | DR. KALEIGH MARIE NAMIOTKA |
| Credential | DMD |
| Practice Address |
10590 Enduring Freedom Drive Fort Drum NY 13602 |
| Practice Telephone | 3157726234 |
| Mailing Telephone | 3157726234 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS041244 | PA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
060268 | NY | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS041244 | PA | Dental Providers |
| Street Address |
10590 ENDURING FREEDOM DRIVE |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078983 | Donald Foster | Dentist | 10590 Enduring Freedom Drive, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2005-10-27 |
| 1578054367 | Kathleen Willis-farmer | Dental Hygienist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2018-05-29 |
| 1881103521 | Elizabeth Haley Fowler | Dental Hygienist | 10590 Enduring Freedom Drive, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2017-09-26 |
| 1952856114 | Jane Bowers | Dental Hygienist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602-5005 | 2016-08-17 |
| 1497152409 | Spencer Joseph | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2014-11-20 |
| 1942606983 | Adam Schwarzberg | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2014-11-18 |
| 1285030775 | Kyle Libby | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602-5005 | 2014-11-10 |
| 1356778500 | Aubrey Russell Hopkins | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602-5005 | 2013-10-02 |
| 1689006025 | Diondre Lamar Venable | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2013-08-08 |
| 1912230913 | Jorge Eller Valdes | Dentist | 10590 Enduring Freedom Drive, Us Army Dental Hqs Ft Drum, Fort Drum, NY 13602-5005 | 2009-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| 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 |
|---|---|---|---|---|
| 1104817113 | Donald E Cole | Dentist | Us Army Dental Activity / Credentials, 10590 Enduring Freedom Drive, Fort Drum, NY 13602-5005 | 2005-10-31 |
| 1720078983 | Donald Foster | Dentist | 10590 Enduring Freedom Drive, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2005-10-27 |
| 1598755472 | Adam Ross Bushell | Dentist | 10205 N Riva Ridge Loop, Us Army Dental Activity, Attn: Credentials, Fort Drum, NY 13602-5457 | 2005-10-24 |
| 1134614563 | Jacob D Woodward | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2018-06-27 |
| 1356778500 | Aubrey Russell Hopkins | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602-5005 | 2013-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1447859509 | Scarsdale Plaza Dental Services, Pllc | Dentist | 455 Central Park Ave Ste 309, Scarsdale, NY 10583-1034 | 2020-10-20 |
| 1326655077 | Iro Dental Pllc | Dentist | 352 7th Ave Ste 405, New York, NY 10001-5012 | 2020-09-27 |
| 1710592373 | Ci Aronson Dds PC | Dentist | 93 Route 303, Tappan, NY 10983 | 2020-09-10 |
| 1508478389 | Damion A Myers Dds Pllc | Dentist | 103 W Dominick St Ste 20, Rome, NY 13440-5809 | 2020-08-21 |
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1184235939 | Western Island Dental Care Pllc | Dentist | 1900 Hempstead Tpke Ste 402, East Meadow, NY 11554-1702 | 2020-08-14 |
| 1992315469 | Elvin F Ramirez | Dentist | 274 W 140th St Apt 1, New York, NY 10030-1738 | 2020-08-08 |
| 1215547864 | Taylor Truncali | Dentist | 3671 Route 9w, Highland, NY 12528-2000 | 2020-08-07 |
| 1275143299 | Francisco J Osorio | Dentist | 812 W 181st St Apt 32, New York, NY 10033-4555 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KALEIGH MARIE NAMIOTKA.
| 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.