SHYLON T MATHEW (NPI# 1487727756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487727756 |
| Entity Type | Individual |
| Full Name | SHYLON T MATHEW |
| Credential | D.D.S. |
| Practice Address |
1510 Ridge Rd W Rochester NY 14615-2405 |
| Mailing Address |
18 High Manor Dr Apt. 1 Henrietta NY 14467-9109 |
| Practice Telephone | 5858656691 |
| Mailing Telephone | 9736155113 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
053101 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821587569 | Shylon Mathew | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottage Rd, Valhalla, NY 10595-1524 | 2018-05-08 |
| Street Address |
1510 RIDGE RD W |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14615-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942371653 | Nicholas B Desiderio | Dentist | 1510 Ridge Rd W, Rochester, NY 14615-2405 | 2006-11-13 |
| 1619039773 | Western New York Dental Group,pc | Dentist | 1510 Ridge Rd W, Rochester, NY 14615-2405 | 2006-12-15 |
| 1023180510 | Kirk A Johnson | Dentist | 1510 Ridge Rd W, Rochester, NY 14615-2405 | 2006-11-14 |
| 1710058383 | Mark G Tomuik | Dentist | 1510 Ridge Rd W, Rochester, NY 14615-2405 | 2006-11-13 |
| 1497826119 | Bruce Goldin | Dentist | 1510 Ridge Rd W, Rochester, NY 14615-2405 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801325311 | Aren Nicole Robinson | Licensed Practical Nurse | 134 Falmouth St, Apt 15, Greece, NY 14615 | 2017-06-08 |
| 1427413533 | Nicole Brucato | Registered Nurse | 281 West Ridge Rd, Rochester, NY 14615 | 2015-12-17 |
| 1043619737 | Iona Miles | Licensed Practical Nurse | 253 Summit Grove Pk, Rochester, NY 14615 | 2014-08-19 |
| 1710236773 | Taina Ramos | Licensed Practical Nurse | 71 Stonehill Dr, Rochester, NY 14615 | 2012-09-06 |
| 1124376744 | Jade H Dunne | Registered Nurse | 150 Arborwood Crescent, Rochester, NY 14615 | 2012-08-29 |
| 1619236577 | Kathleen A Gay | Licensed Practical Nurse | 123 Holyoke St, Rochester, NY 14615 | 2012-05-14 |
| 1144594490 | Millan Healthcare Solutions, LLC | Durable Medical Equipment & Medical Supplies | 1249 Ridgeway Ave, Suite Z, Rochester, NY 14615 | 2012-03-05 |
| 1174808968 | Joanne Spicci | Registered Nurse | 1139 Maiden Lane, Olympia High School, Rochester, NY 14615 | 2011-10-12 |
| 1265748347 | Darcelle A Walker | Registered Nurse | 21 Glenora Gardens, #3, Rochester, NY 14615 | 2010-08-26 |
| 1851425524 | Samana B. Lake | Physical Therapist | 279 Ridge Rd. West, Rochester, NY 14615 | 2007-03-15 |
| Find all providers in zip 14615 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789639 | Small To Tall, Dentistry for Children, Pllc | Dentist | 3171 Chili Ave Ste 400, Rochester, NY 14624-5440 | 2018-11-13 |
| 1366829541 | Andrew B Winslow | Dentist | 625 Elmwood Ave., Rochester, NY 14620 | 2015-04-27 |
| 1609272822 | Rochester Pediatric Dentistry LLC | Dentist | 1705 S Boradway Ave Ste B, Rochester, MN 55904-7960 | 2014-11-16 |
| 1336427384 | Cynthia Laurel Wong | Dentist | 2400 South Clinton Avenue, Suite 125, Rochester, NY 14620 | 2011-07-25 |
| 1477843936 | Kelly A Jones | Dentist | 1705 Broadway Ave S Ste B, Rochester, MN 55904-7960 | 2011-04-18 |
| 1528267242 | Lindsey Keck | Dentist | 261 Averill Ave, Rochester, NY 14620-1301 | 2007-07-12 |
| 1114076619 | Dentistry for Children and Adolescents, Ltd. | Dentist | 2743 Superior Dr Nw, Rochester, MN 55901-1773 | 2007-01-10 |
| 1376646604 | David P. Durr | Dentist | 2061 Ridge Rd W, Rochester, NY 14626-2782 | 2006-09-05 |
| 1306948443 | Daniel H Glowinsky | Dentist | 3171 Chili Ave, Suite 400, Rochester, NY 14624 | 2006-09-01 |
| 1174638183 | Thomas C Burm Jr. | Dentist | 523 Beahan Rd, Rochester, NY 14624-3403 | 2006-08-20 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on SHYLON T MATHEW.
| 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.