DR. ROSANNE SUNDSTROM (NPI# 1891873246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891873246 |
| Entity Type | Individual |
| Full Name | DR. ROSANNE SUNDSTROM |
| Credential | DDS |
| Practice Address |
One East View Road Averill Park NY 12018 |
| Practice Telephone | 5186743174 |
| Practice Fax Number | 5186743001 |
| Mailing Telephone | 5186743174 |
| Mailing Fax Number | 5186743001 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0366021 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 01877701 | 05 |
| Street Address |
ONE EAST VIEW ROAD |
| City | AVERILL PARK |
| State | NY |
| Zip Code | 12018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576337 | Dragonfly & Owl, LLC | Occupational Therapy Assistant | 1653 Ny-43, Averill Park, NY 12018 | 2020-10-23 |
| 1821625518 | Katelee Juliano | Registered Nurse | 333 Ny-351, Averill Park, NY 12018 | 2020-03-24 |
| 1114455821 | Elizabeth Aldeane Barnes | Counselor | 16 Mohawk Drive, Averill Park, NY 12018 | 2017-05-24 |
| 1346671872 | Thomas Degenero I | Dentist | 4482 Ny Route 150, West Sand Lake, NY 12018 | 2013-12-10 |
| 1871855767 | Daniel Kevin Rounds | Specialist | 3054 Ny Route 43, Averill Park, NY 12018 | 2012-06-15 |
| 1427328616 | Rebecca La Dine Everett | Registered Nurse | 146 Gettle Road, St. 1, Averill Park, NY 12018 | 2012-01-05 |
| 1124398474 | Johanna M. Flanigan | Registered Nurse | 146 Gettle Road, Averill Park, NY 12018 | 2012-01-04 |
| 1689943573 | Averill Park School District | Case Management | 333 Ny 351, Averill Park, NY 12018 | 2011-12-21 |
| 1265579197 | Lynn L Hickey | Internal Medicine | 1184 State Rt 50, Ballston Lake, NY 12018 | 2007-01-31 |
| 1477631828 | Geoffrey Raymond Gamache | Dentist | 1 East View Road, Averill Park, NY 12018 | 2006-11-02 |
| Find all providers in zip 12018 | ||||
| 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 |
|---|---|---|---|---|
| 1891979621 | Geoffrey R. Gamache Dds Pllc | Dentist | 1 Eastview Rd, Averill Park, NY 12018-2402 | 2007-12-28 |
| 1477631828 | Geoffrey Raymond Gamache | Dentist | 1 East View Road, Averill Park, NY 12018 | 2006-11-02 |
| 1356448146 | Mark John Pettrone | Dentist | 86 Mountain View Dr, Averill Park, NY 12018-2313 | 2006-09-20 |
| 1144398637 | Robert Halford Hill II | Dentist | 1 East View Road, Averill Park, NY 12018 | 2006-12-01 |
| 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 | AVERILL PARK |
| Zip Code | 12018 |
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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.