Fayetteville Dental Associates

LBN: Fayetteville Dental Associates
Fayetteville Dental Associates is an health care organization with primary practice located at 7000 E Genesee St Building D, Fayetteville NY 13066-1131. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Fayetteville Dental Associates can be contacted via phone (315) 445-1321, or through Janowski, Jennifer Michelle via phone (315) 409-5290.

Contact Information

Primary practice address
7000 E Genesee St Building D Fayetteville NY 13066-1131
Phone: (315) 445-1321
Fax: (315) 445-1399
Website:
Map and Directions
Authorized official contact:
Name: Janowski, Jennifer Michelle
Phone: (315) 409-5290

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X New York

Profile Details

NPI number 1427336866
LBN Legal business name Fayetteville Dental Associates
DBA Doing business as
Authorized official Janowski, Jennifer Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2011
Last updated Aug 3rd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427336866 NPPES
New York MEDICAID 00461138

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