ADVANCED ENDODONTICS PC (NPI# 1396881389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396881389 |
| Entity Type | Organization |
| Organization Name | ADVANCED ENDODONTICS PC |
| Practice Address |
5112 W Taft Rd Suite 'r' Liverpool NY 13088-4868 |
| Practice Telephone | 3154533636 |
| Practice Fax Number | 3154663636 |
| Mailing Telephone | 3154533636 |
| Mailing Fax Number | 3154663636 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRUCE H SEIDBERG (PRESIDENT) |
| Authorized Official Telephone | 3154533636 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
024191 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669515482 | Advanced Endodontics PC | Dentist | 39525 W 14 Mile Rd, Suite 103, Novi, MI 48377-1632 | 2007-02-14 |
| Street Address |
5112 W TAFT RD SUITE 'R' |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-4868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043202641 | Gastroenterology & Hepatology of Central New York, PC | Anesthesiology | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2005-08-19 |
| 1073996567 | Matthew Romano | Physician Assistant | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2015-07-02 |
| 1912388752 | Carolyn Gaulke | Nurse Practitioner | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2015-06-17 |
| 1942645213 | Sarah Barnhardt | Massage Therapist | 5112 W Taft Rd, Liverpool, NY 13088-4868 | 2013-05-01 |
| 1598041766 | Melanie F Salanger | Physician Assistant | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2011-11-01 |
| 1649410762 | George Elbayadi | Anesthesiology | 5112 W Taft Rd, Ste H, Liverpool, NY 13088-4868 | 2009-03-02 |
| 1891934527 | Theresa Hobbs | Social Worker | 5112 W Taft Rd, Liverpool, NY 13088-4868 | 2009-02-19 |
| 1669654323 | Gregory Wolanski | Pharmacist | 5112 W Taft Rd, Suite A, Liverpool, NY 13088-4868 | 2007-12-04 |
| 1912193186 | Renee L Pierce | Social Worker | 5112 W Taft Rd, Liverpool, NY 13088-4868 | 2007-09-20 |
| 1669667671 | Syracuse Hematology Oncology PC | Internal Medicine | 5112 W Taft Rd, Suite J, Liverpool, NY 13088-4868 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821577420 | Stephanie Chan | Dentist | 4820 W Taft Rd Ste 214, Liverpool, NY 13088-2807 | 2018-08-14 |
| 1801183801 | Daniel Francis Morris | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2011-06-29 |
| 1720258205 | Endodontic Specialists, PC | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2008-03-11 |
| 1366587214 | Eugene West | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2007-02-20 |
| 1972646875 | Mark D Currell | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2007-02-14 |
| 1215070123 | Lynn S Brinker | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2007-02-14 |
| 1225186216 | Jeffrey S Maloff | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2007-01-08 |
| 1841356649 | Bruce Harvey Seidberg | Dentist | 5112 W Taft Road, Suite 'r', Liverpool, NY 13088-4868 | 2006-12-28 |
| 1942290911 | Brian Douglas Barnhart | Dentist | 4820 W Taft Rd, Liverpool, NY 13088-2800 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
| 1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
| 1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
| 1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
| 1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
| 1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
| 1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
| 1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
| 1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
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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.