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NORTHEAST FAMILY DENTAL PLLC
NPI 1366583288
Dentist - General Practice in Ithaca, NY

Active since February 12, 2007
2329 N TRIPHAMMER RD, ITHACA, NY 14850(607) 257-0060(607) 257-0042 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeast Family Dental Pllc NPPES

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

NORTHEAST FAMILY DENTAL PLLC (NPI 1366583288) is a healthcare organization registered as a general practice in Ithaca, New York and active in the NPI registry since February 2007. The organization lists Marina R Manunts, Owner, as its authorized official.

NPPES Registry Identity

NPI1366583288
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHEAST FAMILY DENTAL PLLC
Location Address2329 N TRIPHAMMER RDIthaca, NY 14850-1011
Mailing Address2329 N Triphammer RdIthaca, NY 14850-1011 · (607) 257-0060 · Fax (607) 257-0042
Phone(607) 257-0060
Fax(607) 257-0042
Organization SubpartNo
Authorized OfficialMarina R ManuntsOwner · (607) 257-0060
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMay 12, 2008
✔ NPI 1366583288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 050046-1
Definition
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.
2329 N TRIPHAMMER RD, Ithaca, NY 14850
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Other Identifiers 1

Medicaid02299296NY

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

Other Providers at the Same Location NPPES

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

DR. MARINA R MANUNTS D.D.S.
Dentist (General Practice)
2329 N TRIPHAMMER RD
ITHACA, NY 14850
Tompkins County (607) 257-0060

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 Northeast Family Dental PLLC's NPI number?

The NPI number for Northeast Family Dental PLLC is 1366583288. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Northeast Family Dental PLLC located?

Northeast Family Dental PLLC is located at 2329 N Triphammer Rd, Ithaca, NY 14850. The listed phone number is (607) 257-0060.

What is Northeast Family Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Northeast Family Dental PLLC was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.