PALLAVI NARENDRANATH DDS NPI 1912164013

NPI Information

NPI: 1912164013
Provider Name: PALLAVI NARENDRANATH DDS
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 631 S MAIN ST
NEWARK, NY
ZIP 14513
Phone: (315) 331-3552

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NPI Details

PALLAVI NARENDRANATH DDS is a general practice dentist in Newark, 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. PALLAVI NARENDRANATH DDS NPI is 1912164013. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

631 S MAIN ST
NEWARK, NY
ZIP 14513-726
Phone: (315) 331-3552

The provider's authorized official is Pallavi Narendranath .
The authorized official title is Owner and has the following contact phone number (585) 924-7994.

The enumeration date for this NPI number is 5/18/2008 and was last updated on 5/18/2008.

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
1	1223G0001X	Dentist	General Practice	050826-1	NEW YORK	Yes

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
1	02627672	MEDICAID	NEW 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: 3/30/2025

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