CLIFTON PARK PERIODONTICS AND DENTAL IMPLANTS, PLLC
NPI 1003486945
Dentist - Periodontics in Clifton Park, NY

Active since July 01, 2021
1536 CRESCENT RD STE B8, CLIFTON PARK, NY 12065(518) 313-6091 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2021, Jul 1, 2021 (2 updates tracked since 2021).

About Clifton Park Periodontics And Dental Implants, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLIFTON PARK PERIODONTICS AND DENTAL IMPLANTS, PLLC (NPI 1003486945) is a healthcare organization registered as a periodontics in Clifton Park, New York and active in the NPI registry since July 2021. The organization lists Linda Lam, Member, as its authorized official.

NPPES Registry Identity

NPI1003486945
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCLIFTON PARK PERIODONTICS AND DENTAL IMPLANTS, PLLC
Location Address1536 CRESCENT RD STE B8Clifton Park, NY 12065-7729
Mailing Address1536 Crescent Rd Ste B8Clifton Park, NY 12065-7729
Organization SubpartNo
Authorized OfficialLinda LamMember · (518) 631-5988
Enumeration DateJuly 1, 2021
Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
NPI 1003486945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1536 CRESCENT RD STE B8, Clifton Park, NY 12065

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clifton Park Periodontics And Dental Implants, PLLC's NPI number?

The NPI number for Clifton Park Periodontics And Dental Implants, PLLC is 1003486945. It was assigned to this organization in the NPPES registry on July 1, 2021.

Where is Clifton Park Periodontics And Dental Implants, PLLC located?

Clifton Park Periodontics And Dental Implants, PLLC is located at 1536 Crescent Rd Ste B8, Clifton Park, NY 12065. The listed phone number is (518) 313-6091.

What is Clifton Park Periodontics And Dental Implants, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Clifton Park Periodontics And Dental Implants, PLLC was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.