THOMAS J. DEGENERO D.D.S. (NPI# 1528189495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528189495 |
| Entity Type | Organization |
| Organization Name | THOMAS J. DEGENERO D.D.S. |
| Practice Address |
4482 Ny Rte 150 West Sand Lake NY 12196 |
| Mailing Address |
Po Box 367 West Sand Lake NY 12196-0367 |
| Practice Telephone | 5186748500 |
| Practice Fax Number | 5186748885 |
| Mailing Telephone | 5186748500 |
| Mailing Fax Number | 5186748885 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-06-08 |
| Authorized Official Name | DR. THOMAS J DEGENERO (OWNER) |
| Authorized Official Telephone | 5186748500 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
037900-1 | NY | Dental Providers |
| Street Address |
4482 NY RTE 150 |
| City | WEST SAND LAKE |
| State | NY |
| Zip Code | 12196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124541917 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4357 Ny Hwy 150, West Sand Lake, NY 12196 | 2017-07-24 |
| 1598928012 | Center for Disability Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3995 Route 150, West Sand Lake, NY 12196 | 2008-07-03 |
| 1740461318 | Linda Lombardi | Pharmacist | 3701 Ny Highway 43, Box 372, West Sand Lake, NY 12196 | 2007-11-23 |
| 1750490074 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 4357 Ny Highway 150, West Sand Lake, NY 12196 | 2006-08-30 |
| 1629182076 | Sand Lake Ambulance, Inc. | Ambulance | 3643 Ny Route 43, West Sand Lake, NY 12196 | 2006-08-19 |
| 1457535577 | Rebecca A Kirchner | Pharmacist | 4357 Ny Highway 150, West Sand Lake, NY 12196 | 2007-12-26 |
| 1124101977 | Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | 43 Mall, West Sand Lake, NY 12196-0387 | 2006-10-23 |
| 1396989448 | Casey Mulligan Walsh | Speech-Language Pathologist | 68 Valley Dr, West Sand Lake, NY 12196-1739 | 2009-04-20 |
| 1588845580 | Lisa A Burdick | Pharmacist | 84 Valley Dr, West Sand Lake, NY 12196-1739 | 2007-11-18 |
| 1679948640 | Christian Physical Therapy Services PC | Clinic/Center | 4511 State Route 150, West Sand Lake, NY 12196-1824 | 2015-12-02 |
| Find all providers in zip 12196 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1447859509 | Scarsdale Plaza Dental Services, Pllc | Dentist | 455 Central Park Ave Ste 309, Scarsdale, NY 10583-1034 | 2020-10-20 |
| 1326655077 | Iro Dental Pllc | Dentist | 352 7th Ave Ste 405, New York, NY 10001-5012 | 2020-09-27 |
| 1710592373 | Ci Aronson Dds PC | Dentist | 93 Route 303, Tappan, NY 10983 | 2020-09-10 |
| 1508478389 | Damion A Myers Dds Pllc | Dentist | 103 W Dominick St Ste 20, Rome, NY 13440-5809 | 2020-08-21 |
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1184235939 | Western Island Dental Care Pllc | Dentist | 1900 Hempstead Tpke Ste 402, East Meadow, NY 11554-1702 | 2020-08-14 |
| 1992315469 | Elvin F Ramirez | Dentist | 274 W 140th St Apt 1, New York, NY 10030-1738 | 2020-08-08 |
| 1215547864 | Taylor Truncali | Dentist | 3671 Route 9w, Highland, NY 12528-2000 | 2020-08-07 |
| 1275143299 | Francisco J Osorio | Dentist | 812 W 181st St Apt 32, New York, NY 10033-4555 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST SAND LAKE |
| Zip Code | 12196 |
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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.