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YOUNGSTOWN FAMILY DENTISTRY P.C. NPI 1568616324


NPI Information

NPI: 1568616324
Provider Name: YOUNGSTOWN FAMILY DENTISTRY, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 33D2291798

Address:
320 LOCKPORT ST
YOUNGSTOWN, NY
ZIP 14174
Phone: (716) 745-7052
Get Directions

YOUNGSTOWN FAMILY DENTISTRY, P.C. is a general practice dentist in Youngstown, 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. YOUNGSTOWN FAMILY DENTISTRY, P.C. NPI is 1568616324. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

320 LOCKPORT ST
YOUNGSTOWN, NY
ZIP 14174-104
Phone: (716) 745-7052
Fax: (716) 745-7144

The provider's authorized official is James Douglas Trzaska .
The authorized official title is Owner and has the following contact phone number (716) 745-7052.

The CLIA number assigned to this NPI record is 33D2291798 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2008 and was last updated on 11/6/2008.


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
11223G0001XDentistGeneral Practice47050-1NEW 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: 5/5/2024

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