ANTHONY R LISTER (NPI# 1679770523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679770523 |
| Entity Type | Individual |
| Full Name | ANTHONY R LISTER |
| Credential | DDS |
| Practice Address |
114 S Shore Rd Old Forge NY 13420-7786 |
| Mailing Address |
Po Box 66 Old Forge NY 13420-0066 |
| Practice Telephone | 3153696634 |
| Mailing Telephone | 1533696634 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
052886 | NY | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
052886 | NY | Dental Providers |
| Street Address |
114 S SHORE RD |
| City | OLD FORGE |
| State | NY |
| Zip Code | 13420-7786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588640296 | Mark C Webster | Family Medicine | 114 S Shore Rd, Old Forge, NY 13420-3500 | 2005-12-15 |
| 1487630190 | Thomas J Socash | Family Medicine | 114 S Shore Rd, Old Forge, NY 13420-3500 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164715397 | Emir Hodzic | Family Medicine | 114 South Shore Road, Old Forge, NY 13420 | 2011-05-20 |
| 1467750802 | Megan Tara Heeder-megan | Counselor | 3002 Main St, Old Forge, NY 13420 | 2011-03-09 |
| 1003041377 | Stanley Bloom | Urology | 138 Goodell Rd, Old Forge, NY 13420 | 2009-05-15 |
| 1407006182 | Danielle Ann Beckingham | Registered Nurse | 107 Tamarack Dr., Old Forge, NY 13420 | 2008-09-30 |
| 1619127305 | Kelly E. Hamlin | Dietitian, Registered | 114 Middle Branch Rd, Old Forge, NY 13420 | 2008-09-30 |
| 1265697007 | Katherine Boesche | Registered Nurse | 197 Mohawk Rd, Old Forge, NY 13420 | 2008-07-22 |
| 1336325695 | Deborah Brosemer | Pharmacist | 2964 State Route 28, Old Forge, NY 13420 | 2008-01-17 |
| 1558567370 | Old Forge Volunteer Ambulance Corps, Inc | Ambulance | 116 Fulton Street, Old Forge, NY 13420 | 2007-06-27 |
| 1780758276 | Joseph C Rintrona | Dentist | 114 S Shore Road, Tow Prof Bldg, Old Forge, NY 13420 | 2006-11-17 |
| 1518074798 | Kph Healthcare Services, Inc. | Pharmacy | 2964 State Rt 28, Old Forge, NY 13420 | 2006-08-24 |
| Find all providers in zip 13420 | ||||
| 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 |
|---|---|---|---|---|
| 1851949655 | Robert J Notari Dmd PC | Dentist | 429 S Main St Ste 5, Old Forge, PA 18518-1684 | 2019-08-27 |
| 1689903460 | Todd D Habeeb | Dentist | 115 Moosic Rd, Old Forge, PA 18518-2018 | 2009-12-08 |
| 1780758276 | Joseph C Rintrona | Dentist | 114 S Shore Road, Tow Prof Bldg, Old Forge, NY 13420 | 2006-11-17 |
| 1528180916 | Kenneth C. Killino | Dentist | 520 S Main St, Old Forge, PA 18518-1542 | 2007-04-04 |
| 1689692097 | Robert James Notari | Dentist | 429 S Main St, Suite 5, Old Forge, PA 18518-1684 | 2006-07-17 |
| 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 | ||||
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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.