1500 GRANT BLVD DENTISTRY, PLLC (NPI# 1497263685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497263685 |
| Entity Type | Organization |
| Organization Name | 1500 GRANT BLVD DENTISTRY, PLLC |
| Practice Address |
1500 Grant Blvd Syracuse NY 13208-3014 |
| Practice Telephone | 3154723414 |
| Practice Fax Number | 3154724320 |
| Mailing Telephone | 3154723414 |
| Mailing Fax Number | 3154724320 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Authorized Official Name | ARUN BALAKUMAR (CEO) |
| Authorized Official Telephone | 3154723414 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
051141 | NY | Ambulatory Health Care Facilities |
| Street Address |
1500 GRANT BLVD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13208-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366597916 | Arun Balakumar | Dentist | 1500 Grant Blvd, Syracuse, NY 13208-3014 | 2007-01-24 |
| 1982729091 | Grant Blvd Dental Pllc | Dentist | 1500 Grant Blvd, Syracuse, NY 13208 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740736040 | M&a Mobilityllc | Non-emergency Medical Transport (VAN) | 1611 Lodi St, Syracuse, NY 13208 | 2016-08-28 |
| 1053655472 | Navid Rashidi Keikanloo | Dentist | 2800 Court St, Syracuse, NY 13208 | 2012-11-26 |
| 1801163399 | Kathleen Ann Troicke | Registered Nurse | 923 North Mcbride Street, Cathedral Academy At Pompei School, Syracuse, NY 13208 | 2011-11-28 |
| 1194016469 | Sharon Walsh Costello | Registered Nurse | 110 Second North Street, Apt 17, Syracuse, NY 13208 | 2011-04-21 |
| 1396058749 | Rebecca Lynn Martin | Licensed Practical Nurse | 102 Hamden Drive, Syracuse, NY 13208 | 2010-07-14 |
| 1730358045 | Tiffany Mckinney | Technician/Technologist | 2901 Court Street, Eyecare of Cny, Syracuse, NY 13208 | 2008-02-21 |
| 1871794594 | Edward Louis Defuria | Dentist | 2800 Court Street, Syracuse, NY 13208 | 2007-05-30 |
| 1912092354 | Karen Ev Fallon | Physical Therapist | 1603 Court Street, Syracuse, NY 13208 | 2006-10-03 |
| 1245346147 | Christian Haglund Woodhead | Dentist | 801 N. Salina St., Syracuse, NY 13208 | 2006-08-22 |
| 1619994167 | Judith Ann Falk | Social Worker | 1118 Court St, Syracuse, NY 13208 | 2006-07-17 |
| Find all providers in zip 13208 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417463308 | Nathan C Cooney Dds PC | Clinic/Center | 1792 W 1700 S Ste 203, Syracuse, UT 84075-9651 | 2017-12-14 |
| 1689116014 | Argyle Dental, PC | Clinic/Center | 780 S 2000 W, Suite E-301, Syracuse, UT 84075-9602 | 2016-11-16 |
| 1275989634 | Syracuse Dental Clinic LLC | Clinic/Center | 935 1st St, Syracuse, NE 68446 | 2016-05-04 |
| 1245605997 | Dr. P. Teluk, Dds, PC | Clinic/Center | 2105 W Genesee St, Syracuse, NY 13219-1656 | 2015-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380246 | Charles R Hoeg Dmd PC | Clinic/Center | 45 Route 25a Ste A1, Shoreham, NY 11786-1389 | 2020-09-10 |
| 1801409016 | Daniel Babadzhanov Dmd Pllc | Clinic/Center | 7025 Yellowstone Blvd Ste 1o, Forest Hills, NY 11375-3165 | 2020-08-26 |
| 1417567611 | Hudson River Dental | Clinic/Center | 1 Baltic Pl Ste 104, Croton On Hudson, NY 10520-1642 | 2020-08-03 |
| 1316556897 | Bridget E. Sweeney, Dds, Pllc | Clinic/Center | 6043 Transit Road, Suite 102, Clarence, NY 14031 | 2020-07-30 |
| 1679182919 | Avalon Dental, PC | Clinic/Center | 20103 Northern Blvd Fl 1, Flushing, NY 11361-2563 | 2020-07-22 |
| 1104442706 | Igor Dekhkanov Dds PC | Clinic/Center | 438 Graham Ave Fl 1, Brooklyn, NY 11211-1415 | 2020-06-19 |
| 1245852334 | Walter G Neuhaus Dds PC | Clinic/Center | 2825 Niagara Falls Blvd Ste 170, Amherst, NY 14228-2000 | 2020-05-12 |
| 1487274445 | Rock A Smile Dental Studio Pllc | Clinic/Center | 9708 Rockaway Blvd, Ozone Park, NY 11417-1615 | 2020-04-20 |
| 1033738414 | Samina Haque Dmd Pllc | Clinic/Center | 25012 Hillside Ave Ste A, Bellerose, NY 11426-2139 | 2020-04-15 |
| 1366077844 | New York Dental Care, Pllc | Clinic/Center | 124 E 40th St Rm 302, New York, NY 10016-1723 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on 1500 GRANT BLVD DENTISTRY, PLLC.
| 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.