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FONDAK DENTAL OFFICES P.C. NPI 1659458677


NPI Information

NPI: 1659458677
Provider Name: FONDAK DENTAL OFFICES, P.C.

Doing Business As: FONDAK DENTAL OFFICES, P.C.

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
33054 STATE ROUTE 26
CARTHAGE, NY
ZIP 13619
Phone: (315) 493-9393
Get Directions

FONDAK DENTAL OFFICES, P.C. is a prosthodontics dentist in Carthage, NY. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. FONDAK DENTAL OFFICES, P.C. NPI is 1659458677. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fondak Dental Offices, P.c..

The provider's business location address is:

33054 STATE ROUTE 26
CARTHAGE, NY
ZIP 13619-600
Phone: (315) 493-9393
Fax: (315) 493-9394

The provider's authorized official is Jeffrey Theodore Fondak .
The authorized official title is President and has the following contact phone number (315) 493-9393.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0700XDentistProsthodontics033273NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1033273OTHERNEW YORKNYS DENTAL LICENSE
21184730392OTHERNEW YORKNPI INDIVIDUAL NUMBER
31640915OTHERNEW YORKUNITED CONCORDIA GRP NUM
41342155OTHERNEW YORKUNITED CONCORDIA IND PROV

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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