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PRIMARY TEETH PEDIATRIC DENTISTRY PLLC
NPI 1114548617
Dentist - Pediatric Dentistry in Gloversville, NY

Active since May 06, 2020
199 S MAIN ST, GLOVERSVILLE, NY 12078(518) 601-2220(518) 601-2221 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Primary Teeth Pediatric Dentistry Pllc NPPES

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

PRIMARY TEETH PEDIATRIC DENTISTRY PLLC (NPI 1114548617) is a healthcare organization registered as a pediatric dentistry in Gloversville, New York and active in the NPI registry since May 2020. The organization lists Jake Fried, Owner, as its authorized official.

NPPES Registry Identity

NPI1114548617
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePRIMARY TEETH PEDIATRIC DENTISTRY PLLC
Location Address199 S MAIN STGloversville, NY 12078-4240
Mailing Address199 S Main StGloversville, NY 12078-4240 · (518) 601-2220 · Fax (518) 601-2221
Phone(518) 601-2220
Fax(518) 601-2221
Organization SubpartNo
Authorized OfficialJake FriedOwner · (518) 601-2220
Enumeration DateMay 6, 2020
NPPES CertifiedMay 6, 2020
✔ NPI 1114548617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

199 S MAIN ST, Gloversville, NY 12078
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON NOELLE ANDREWS
Dental Hygienist
199 S MAIN ST
GLOVERSVILLE, NY 12078
Fulton County (518) 774-7540

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 Primary Teeth Pediatric Dentistry PLLC's NPI number?

The NPI number for Primary Teeth Pediatric Dentistry PLLC is 1114548617. It was assigned to this organization in the NPPES registry on May 6, 2020.

Where is Primary Teeth Pediatric Dentistry PLLC located?

Primary Teeth Pediatric Dentistry PLLC is located at 199 S Main St, Gloversville, NY 12078. The listed phone number is (518) 601-2220.

What is Primary Teeth Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Primary Teeth Pediatric Dentistry PLLC accept?

Health plans from UnitedHealthcare list Primary Teeth Pediatric Dentistry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Primary Teeth Pediatric Dentistry PLLC was last updated on May 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.