TICONDEROGA DENTAL PLAZA, PC
NPI 1457869224
Dentist - Dentist Anesthesiologist in Ticonderoga, NY

Active since January 16, 2018
1019 WICKER ST, TICONDEROGA, NY 12883(518) 825-0025 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 20, 2018, Jun 16, 2018, Jan 16, 2018 (3 updates tracked since 2018).

About Ticonderoga Dental Plaza, Pc NPPES

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

TICONDEROGA DENTAL PLAZA, PC (NPI 1457869224) is a healthcare organization registered as a dentist anesthesiologist in Ticonderoga, New York and active in the NPI registry since January 2018. The organization lists Morris E Feinberg, Dentist / Owner, as its authorized official.

NPPES Registry Identity

NPI1457869224
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameTICONDEROGA DENTAL PLAZA, PC
Location Address1019 WICKER STTiconderoga, NY 12883-1039
Mailing Address304 W Bay PlzPlattsburgh, NY 12901-1787
Organization SubpartNo
Authorized OfficialMorris E FeinbergDentist / Owner · (518) 825-0025
Enumeration DateJanuary 16, 2018
Last NPPES UpdateJune 20, 20183 updates tracked since enumeration
NPI 1457869224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License Licensed in NY · 000649
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
1019 WICKER ST, Ticonderoga, NY 12883

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 19

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

Physical Therapist
1019 WICKER ST
TICONDEROGA, NY 12883
Orthopaedic Surgery
1019 WICKER ST, MOSES LUDINGTON HOSPITAL
TICONDEROGA, NY 12883
General Acute Care Hospital (Critical Access)
1019 WICKER ST
TICONDEROGA, NY 12883
Durable Medical Equipment & Medical Supplies
1019 WICKER ST
TICONDEROGA, NY 12883
General Acute Care Hospital (Critical Access)
1019 WICKER ST
TICONDEROGA, NY 12883
Nurse Practitioner (Family)
1019 WICKER ST
TICONDEROGA, NY 12883
Pharmacist
1019 WICKER ST
TICONDEROGA, NY 12883
General Acute Care Hospital (Critical Access)
1019 WICKER ST
TICONDEROGA, NY 12883

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 Ticonderoga Dental Plaza, PC's NPI number?

The NPI number for Ticonderoga Dental Plaza, PC is 1457869224. It was assigned to this organization in the NPPES registry on January 16, 2018.

Where is Ticonderoga Dental Plaza, PC located?

Ticonderoga Dental Plaza, PC is located at 1019 Wicker St, Ticonderoga, NY 12883. The listed phone number is (518) 825-0025.

What is Ticonderoga Dental Plaza, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Ticonderoga Dental Plaza, PC was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.