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CREATIVE DENTAL CONCEPTS OF CNY PLLC NPI 1851430193


NPI Information

NPI: 1851430193
Provider Name: CREATIVE DENTAL CONCEPTS OF CNY PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1000 E GENESEE ST
SUITE 501
SYRACUSE, NY
ZIP 13210
Phone: (315) 475-6641
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CREATIVE DENTAL CONCEPTS OF CNY PLLC is a general practice dentist in Syracuse, 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. CREATIVE DENTAL CONCEPTS OF CNY PLLC NPI is 1851430193. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1000 E GENESEE ST
SUITE 501
SYRACUSE, NY
ZIP 13210
Phone: (315) 475-6641
Fax: (315) 475-6651

The provider's authorized official is Gregory A Craybas .
The authorized official title is Dentist and has the following contact phone number 31554756641.

The enumeration date for this NPI number is 2/5/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice031300NEW YORKNo
21223G0001XDentistGeneral Practice046443NEW YORKYes

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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