FAYETTEVILLE DENTAL ASSOCIATES


Address: 7000 E Genesee St, Building D, Fayetteville, NY 13066-1131
Phone: 3154451321

FAYETTEVILLE DENTAL ASSOCIATES (NPI# 1427336866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427336866
Entity Type Organization
Organization Name FAYETTEVILLE DENTAL ASSOCIATES
Practice Address 7000 E Genesee St
Building D
Fayetteville
NY 13066-1131
Mailing Address 7000 East Genesee Street
Building D
Fayetteville
NY 13066
Practice Telephone 3154451321
Practice Fax Number 3154451399
Mailing Telephone 3154451321
Mailing Fax Number 3154451399
Enumeration Date 2011-08-03
Last Update Date 2011-08-03
Authorized Official Name MRS. JENNIFER MICHELLE JANOWSKI (OFFICE MANAGER)
Authorized Official Telephone 3154095290
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
NY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 00461138 05

Office Location

Street Address 7000 E GENESEE ST
BUILDING D
City FAYETTEVILLE
State NY
Zip Code 13066-1131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811994932 Maudie Watkins Ritchie Social Worker 7000 E Genesee St, Bldg B, Fayetteville, NY 13066-1131 2005-07-05
1003321860 Diamond M Thaxton Counselor 7000 E Genesee St, Fayetteville, NY 13066-1131 2017-12-02
1336422872 Robin Gail Kasowitz Social Worker 7000 E Genesee St, Building B, Fayetteville, NY 13066-1131 2011-09-21
1942504691 Jamie L Ghany Behavioral Analyst 7000 E Genesee St, Fayetteville, NY 13066-1131 2011-01-10
1801190731 Denis F Branson Md Professional Corporation Plastic Surgery 7000 E Genesee St, Building E, Fayetteville, NY 13066-1131 2011-01-06
1083942718 Family Medical Care of Dewitt Pllc Family Medicine 7000 E Genesee St, Building D, Fayetteville, NY 13066-1131 2009-11-18
1043350200 Joseph A. Catania, Dds, P.C. Dentist 7000 E Genesee St, Bldg. C, Fayetteville, NY 13066-1131 2007-02-07
1902942659 Jennifer C Yolles Psychiatry & Neurology 7000 E Genesee St, Building A, Fayetteville, NY 13066-1131 2007-01-29
1659438661 Susan Carla Hawkins Social Worker 7000 E Genesee St, Building B, Fayetteville, NY 13066-1131 2007-01-02
1447313812 Joseph A Catania Dentist 7000 E Genesee St, Bldg. C, Fayetteville, NY 13066-1131 2006-12-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457819963 Word Wellness Center, LLC Psychologist 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 2019-03-05
1629529060 Lorna Boyer Chase Marriage & Family Therapist 109 White Heron Circle, Fayetteville, NY 13066 2016-10-20
1699221432 Roman Batyuk Nurse Practitioner 4100 Medical Center Drive, Fayetteville, NY 13066 2016-08-31
1427405133 National Eye Care, Inc Optometrist 5160 Kinloch Circle, Fayetteville, NY 13066 2016-05-23
1013375328 Kristin Kukenberger Chiropractor 7000 E Genesee St Bldg B, Fayetteville, NY 13066 2016-02-01
1124394671 Susan Hartman Brenizer Marriage & Family Therapist 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 2012-03-29
1245541432 Rene L Converse Occupational Therapist 7200 E. Genesee Street, Fayetteville, NY 13066 2010-06-23
1689815805 Menorah Park Group Residents Clinic/Center 12 Jamar Drive, Dewitt, NY 13066 2009-03-18
1063677458 John Marcena Glezen Obstetrics & Gynecology 1 The Gazebo, Fayetteville, NY 13066 2008-07-24
1629232418 Tucker Martin Harris Otolaryngology 4000 Medical Center Dr # 117, Fayetteville, NY 13066 2008-07-11
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346898335 Chaitanya Joopally Dds Pllc Dentist 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 2019-09-03
1972151439 Ikenna K Okons Dentist 4200 Morganton Rd Ste 304, Fayetteville, NC 28314-1564 2019-08-28
1114488079 Bianca Kristina Adams Dentist 207 Forest Creek Dr, Fayetteville, NC 28303-5496 2019-03-25
1194226506 Michael E. Carter, Dds, Pllc Dentist 1874 N Hunters Rdg Ste 1, Fayetteville, AR 72701-2896 2018-02-22
1760900153 Elali Alisha Marie Moukwa Dentist 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 2017-09-06
1548781107 Christopher Heard Dentist 265 N Jeff Davis Dr Ste 1a, Fayetteville, GA 30214-1668 2017-07-03
1881123305 Kenneth Boyd Lewis Jr. Dentist 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 2017-06-08
1518496215 Van Michael Mcqueen Jr. Dentist 640 N Garland Ave # 104, Fayetteville, AR 72701 2017-06-06
1710415229 Alan Kuo Dentist 1400 Walter Reed Rd Ste 200, Fayetteville, NC 28304 2017-05-28
1508304866 Karan G Mirchandani Dentist 4251 Ramsey St Ste 8, Fayetteville, NC 28311-2130 2017-02-07
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City FAYETTEVILLE
Zip Code 13066

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Dataset Information

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.

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