DR. RICHARD LAWRENCE FIESE (NPI# 1528090511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528090511 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LAWRENCE FIESE |
| Credential | DMD |
| Practice Address |
105 Co Rt 45 A Suite 100 Oswego NY 13126 |
| Practice Telephone | 3153436160 |
| Practice Fax Number | 3153438556 |
| Mailing Telephone | 3153436160 |
| Mailing Fax Number | 3153438556 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0407871 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01046088 | 05 |
| Street Address |
105 CO RT 45 A SUITE 100 |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851948004 | Aashna Deva | Dentist | 1016 Douglas Rd, Oswego, IL 60543-9865 | 2019-08-22 |
| 1861850794 | Erika L Krouth Dds PC | Dentist | 1016 Douglas Rd Unit A, Oswego, IL 60543-9865 | 2016-02-06 |
| 1245600048 | Elena Zakharian | Dentist | 2484 Us Highway 30 # B101, Oswego, IL 60543-8974 | 2015-10-06 |
| 1780941906 | Jennifer Margaret Merry | Dentist | 12 New St, Oswego, NY 13126-1764 | 2012-04-12 |
| 1457524845 | Albert K. Andrew II,dds,pc | Dentist | 2759 Us Highway 34, Oswego, IL 60543-8949 | 2008-04-08 |
| 1417168139 | Michael J Arena | Dentist | 63 West Second Street, Oswego, NY 13126 | 2007-05-24 |
| 1467664250 | Walter Joseph Bozek | Dentist | 63 West 2nd St, Oswego, NY 13126 | 2007-05-04 |
| 1952522278 | Arwinder Singh Judge | Dentist | Great Lakes Dental Services, PC, 10 George St, Oswego, NY 13126 | 2007-05-02 |
| 1619197597 | Murshed Rahman | Dentist | 137 State Route 104, Oswego, NY 13126-2937 | 2007-04-26 |
| 1538288410 | Shalini Mohan | Dentist | 60c S Main St, Oswego, IL 60543-8594 | 2007-03-29 |
| Find all providers in OSWEGO | ||||
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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.