PEDIATRIC DENTISTRY & INTERCEPTIVE ORTHODONTICS P.C.
NPI 1346300209
Dentist - Orthodontics and Dentofacial Orthopedics in Fayetteville, NY

Active since December 11, 2006
8016 E GENESEE ST, FAYETTEVILLE, NY 13066(315) 637-6961(315) 637-0169 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Pediatric Dentistry & Interceptive Orthodontics P.c. NPPES

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

PEDIATRIC DENTISTRY & INTERCEPTIVE ORTHODONTICS P.C. (NPI 1346300209) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Fayetteville, New York and active in the NPI registry since December 2006. The organization lists Edward Robison, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1346300209
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NamePEDIATRIC DENTISTRY & INTERCEPTIVE ORTHODONTICS P.C.
Location Address8016 E GENESEE STFayetteville, NY 13066-9692
Mailing Address8016 E Genesee StFayetteville, NY 13066-9692 · (315) 637-6961 · Fax (315) 637-0169
Fax(315) 637-0169
Organization SubpartNo
Authorized OfficialEdward RobisonTreasurer · (315) 637-6961
Enumeration DateDecember 11, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1346300209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NY · 050957
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 027300 (NY), 043434 (NY), 038405 (NY)
8016 E GENESEE ST, Fayetteville, NY 13066

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Dentist (Pediatric Dentistry)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Dentist (Pediatric Dentistry)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Dentist (Pediatric Dentistry)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Dentist (Pediatric Dentistry)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Dentist (Pediatric Dentistry)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Clinic/Center (Health Service)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Dentist (Pediatric Dentistry)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Naturopath
8016 E GENESEE ST
FAYETTEVILLE, NY 13066

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 Pediatric Dentistry & Interceptive Orthodontics P.C.'s NPI number?

The NPI number for Pediatric Dentistry & Interceptive Orthodontics P.C. is 1346300209. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Pediatric Dentistry & Interceptive Orthodontics P.C. located?

Pediatric Dentistry & Interceptive Orthodontics P.C. is located at 8016 E Genesee St, Fayetteville, NY 13066. The listed phone number is (315) 637-6961.

What is Pediatric Dentistry & Interceptive Orthodontics P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry & Interceptive Orthodontics P.C. was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.