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APPLE BLOSSOM DENTALPLLC NPI 1811385826


NPI Information

NPI: 1811385826
Provider Name: APPLE BLOSSOM DENTAL,PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3800 RAILROAD AVE
WILLIAMSON, NY
ZIP 14589
Phone: (315) 589-4471
Get Directions

APPLE BLOSSOM DENTAL,PLLC is a general practice dentist in Williamson, NY. The provider is 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. APPLE BLOSSOM DENTAL,PLLC NPI is 1811385826. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3800 RAILROAD AVE
WILLIAMSON, NY
ZIP 14589-340
Phone: (315) 589-4471
Fax: (315) 589-9427

The provider's authorized official is Fethiye Sevde Ersan .
The authorized official title is Dds and has the following contact phone number (315) 589-4471.

The enumeration date for this NPI number is 12/26/2014 and was last updated on 12/26/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice053718NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103325546MEDICAIDNEW YORK

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: 4/28/2024

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