WALTON DENTAL PLLC (NPI# 1790971869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790971869 |
| Entity Type | Organization |
| Organization Name | WALTON DENTAL PLLC |
| Practice Address |
132 Delaware St Walton NY 13856-1331 |
| Practice Telephone | 6078654000 |
| Mailing Telephone | 6078654000 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | MAKSIM LYUBARSKIY (OWNER) |
| Authorized Official Telephone | 6078654000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
49385 | NY | Dental Providers |
| Street Address |
132 DELAWARE ST |
| City | WALTON |
| State | NY |
| Zip Code | 13856-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982042891 | Francesca Bevilacqua | Social Worker | 132 Delaware St, Suite 2a, Walton, NY 13856-1486 | 2013-06-13 |
| 1356678817 | Debra Ann Mierop | Social Worker | 132 Delaware St, Suite 2a, Walton, NY 13856-1486 | 2009-11-04 |
| 1518290675 | Nola Elizabeth Macek | Social Worker | 132 Delaware St, Suite 2a, Walton, NY 13856-1486 | 2009-09-08 |
| 1881848802 | Kathryn G Kochersberger | Social Worker | 132 Delaware St, Suite 2a, Walton, NY 13856-1486 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164973962 | Leeann Otto | Registered Nurse | 88 Griswold St, Walton, NY 13856 | 2016-10-18 |
| 1134518582 | Crystal Burr | Licensed Practical Nurse | 1773 Dryden Rd, Walton, NY 13856 | 2015-01-22 |
| 1043573348 | Dawn F. Northrup | Registered Nurse | 47-49 Stockton Ave., Walton, NY 13856 | 2012-06-21 |
| 1659657120 | Gladys A Frazier | Registered Nurse | 42 North Street, Walton, Ny,13856, NY 13856 | 2011-10-28 |
| 1073763918 | William S Korwan | Dentist | 83 Liberty St, Walton, NY 13856 | 2008-09-29 |
| 1609039866 | Diane Zieba-virone | Pharmacist | 215 Delaware Street, Walton, NY 13856 | 2008-07-08 |
| 1326133752 | Edward Arthur Wilson | Social Worker | Delaware County Mental Health Clinic, One Hospital Road, Walton, NY 13856 | 2006-10-03 |
| 1104930593 | Michael C Free | Physician Assistant | 1 Titus Place, Walton, NY 13856 | 2006-08-19 |
| 1568445583 | Julie Beth Vernold | Nurse Practitioner | 130 North St., Walton, NY 13856 | 2005-11-23 |
| 1184621062 | Cynthia M Cantwell | Nurse Practitioner | 2 Titus Place, Walton, NY 13856 | 2005-07-07 |
| Find all providers in zip 13856 | ||||
| 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 |
|---|---|---|---|---|
| 1073763918 | William S Korwan | Dentist | 83 Liberty St, Walton, NY 13856 | 2008-09-29 |
| 1255487484 | Huey Dental Associates | Dentist | 75 North Main Street, Walton, KY 41094 | 2007-01-29 |
| 1689780280 | Mussarat Pathan | Dentist | 210 Delaware St, Walton, NY 13856-1020 | 2006-08-23 |
| 1639150162 | Arnold D Slone | Dentist | 11089 Clay Dr, Walton, KY 41094-7473 | 2005-11-10 |
| 1679613467 | Bradley Gaines Huey | Dentist | 75 North Main Street, Walton, KY 41094 | 2007-02-08 |
| 1629119391 | Anne Marcele Huey | Dentist | 75 North Main Street, Walton, KY 41094 | 2007-02-08 |
| 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.