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NO
NPI 1417317041
Clinic/Center in De Witt, NY

Active since February 24, 2016
6607 KINNE RD, DE WITT, NY 13214(315) 446-6406 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About No NPPES

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

NO (NPI 1417317041) is a healthcare organization registered as a clinic/center in De Witt, New York and active in the NPI registry since February 2016. The organization lists Praveen K Simlote, President, as its authorized official.

NPPES Registry Identity

NPI1417317041
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSHOPPINGTOWN DENTAL SERVICES PC
Location Address6607 KINNE RDDe Witt, NY 13214-1871
Mailing Address6607 Kinne RdDewitt, NY 13214 · (315) 446-6406
Phone(315) 446-6406
Organization SubpartNo
Authorized OfficialPraveen K SimlotePresident · (315) 446-6406
Enumeration DateFebruary 24, 2016
✔ NPI 1417317041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 035492
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6607 KINNE RD, De Witt, NY 13214
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Other Names 1

Doing Business AsNo

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. JESSICA ANN SIELAWA DC
Chiropractor
6607 KINNE RD
SYRACUSE, NY 13214
Onondaga County (315) 682-1020

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 Shoppingtown Dental Services PC's NPI number?

The NPI number for Shoppingtown Dental Services PC is 1417317041. It was assigned to this organization in the NPPES registry on February 24, 2016. The provider is doing business as No.

Where is Shoppingtown Dental Services PC located?

Shoppingtown Dental Services PC is located at 6607 Kinne Rd, De Witt, NY 13214. The listed phone number is (315) 446-6406.

What is Shoppingtown Dental Services PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Shoppingtown Dental Services PC was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.