1. Home
  2. Directory
  3. New York
  4. East Syracuse
  5. Clinic Center
  6. NPI Profile

FAYETTEVILLE SMILES DENTISTRY PLLC
NPI 1508471046
Clinic/Center - Dental in East Syracuse, NY

Active since September 11, 2020
5009 CAMPUSWOOD DR, EAST SYRACUSE, NY 13057(315) 329-5146(315) 400-0906 Get Directions Write a Review

NPPES record last updated: April 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2023, Mar 9, 2021, Mar 2, 2021 and 3 more (6 updates tracked since 2020).

About Fayetteville Smiles Dentistry Pllc NPPES

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

FAYETTEVILLE SMILES DENTISTRY PLLC (NPI 1508471046) is a healthcare organization registered as a dental in East Syracuse, New York and active in the NPI registry since September 2020. The organization lists Daniel Richter, Owner, as its authorized official.

NPPES Registry Identity

NPI1508471046
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAYETTEVILLE SMILES DENTISTRY PLLC
Location Address5009 CAMPUSWOOD DREast Syracuse, NY 13057-1222
Mailing Address5009 Campuswood DrEast Syracuse, NY 13057-1222 · (315) 329-5146 · Fax (315) 400-0906
Phone(315) 329-5146
Fax(315) 400-0906
Organization SubpartNo
Authorized OfficialDaniel RichterOwner · (315) 329-5146
Enumeration DateSeptember 11, 2020
Last NPPES UpdateApril 9, 20236 updates tracked since enumeration
NPPES CertifiedApril 9, 2023
✔ NPI 1508471046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5009 CAMPUSWOOD DR, East Syracuse, NY 13057
Open in Google Maps ↗

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 Fayetteville Smiles Dentistry PLLC's NPI number?

The NPI number for Fayetteville Smiles Dentistry PLLC is 1508471046. It was assigned to this organization in the NPPES registry on September 11, 2020.

Where is Fayetteville Smiles Dentistry PLLC located?

Fayetteville Smiles Dentistry PLLC is located at 5009 Campuswood Dr, East Syracuse, NY 13057. The listed phone number is (315) 329-5146.

What is Fayetteville Smiles Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Fayetteville Smiles Dentistry PLLC was last updated on April 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.