FINGER LAKES DENTAL CARE OF PALMYRA, PLLC (NPI# 1841761103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841761103 |
| Entity Type | Organization |
| Organization Name | FINGER LAKES DENTAL CARE OF PALMYRA, PLLC |
| Practice Address |
523 E Main St Palmyra NY 14522-1144 |
| Mailing Address |
329 S Main St Canandaigua NY 14424-2118 |
| Practice Telephone | 5859196624 |
| Mailing Telephone | 5859196624 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Authorized Official Name | JENNIFER MORELLO (BUSINESS MANAGER) |
| Authorized Official Telephone | 5859196624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FINGER LAKES DENTAL CARE OF PALMYRA, PLLC | 329 S. Main Street, Canandaigua, Ny 14424 |
| Street Address |
523 E MAIN ST |
| City | PALMYRA |
| State | NY |
| Zip Code | 14522-1144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689909863 | Betsy Wray Hernandez | Registered Nurse | 3046 Sherwood Rd., Palmyra, NY 14522 | 2009-10-06 |
| 1639202815 | Stacey Tinker Welch | Social Worker | 200 Church St, Suite 110, Palmyra, NY 14522 | 2007-03-14 |
| 1184767873 | John Michael Masterson Jr. | Dentist | 402 W Main St, Palmyra, NY 14522-1004 | 2007-02-14 |
| 1619220662 | Jessica Dekdebrun | Licensed Practical Nurse | 201 Park Dr, Palmyra, NY 14522-1113 | 2012-10-16 |
| 1538318050 | Newport Medical, Pllc | Clinic/Center | 221 E Main St, Palmyra, NY 14522-1127 | 2008-09-09 |
| 1265446520 | Malcolm M Riggs | General Practice | 201 E Main St, Palmyra, NY 14522-1127 | 2006-07-29 |
| 1396704060 | Karen May Nickell | Family Medicine | 221 E Main St, Palmyra, NY 14522-1127 | 2006-03-21 |
| 1750820114 | Amanda Wendt | Pharmacist | 214 E Main St, Palmyra, NY 14522-1128 | 2017-02-18 |
| 1144668559 | Palmyra Pharmacy LLC | Pharmacy | 214 E Main St, Palmyra, NY 14522-1128 | 2013-06-07 |
| 1124263710 | Denise Ann Jackson | Specialist | 204 E Main St, Palmyra, NY 14522-1128 | 2008-12-10 |
| Find all providers in zip 14522 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| 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 FINGER LAKES DENTAL CARE OF PALMYRA, 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.