OAKDALE MALL DENTAL LLP
NPI 1801156674
Dentist in Johnson City, NY

Q: What is Oakdale Mall Dental LLP's NPI number?

The NPI number for Oakdale Mall Dental LLP is 1801156674. It was assigned to this organization in the NPPES registry on May 25, 2012.

Q: What is Oakdale Mall Dental LLP's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 25, 2012

601-635 HARRY L DR, 46, JOHNSON CITY, NY 13790(607) 770-8888(607) 770-8881 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Oakdale Mall Dental Llp NPPES

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

OAKDALE MALL DENTAL LLP (NPI 1801156674) is a healthcare organization registered as a dentist in Johnson City, New York and active in the NPI registry since May 2012. The organization lists Ross Krasnov, Owner, as its authorized official.

NPPES Registry Identity

NPI1801156674

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameOAKDALE MALL DENTAL LLP

Location Address601-635 HARRY L DR, 46Johnson City, NY 13790-1246

Mailing Address601-635 Harry L Dr, 46Johnson City, NY 13790-1246 · (607) 770-8888 · Fax (607) 770-8881

Phone(607) 770-8888

Fax(607) 770-8881

Organization SubpartNo

Authorized OfficialRoss KrasnovOwner · (607) 770-8888

Enumeration DateMay 25, 2012

✔ NPI 1801156674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 046043

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

601-635 HARRY L DR, Johnson City, NY 13790

Open in Google Maps ↗

Other Identifiers 1

Medicaid01580001NY

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 3

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

VIENGSAMAY J CHAMLEUNSOUK

Technician/Technologist (Ophthalmic)

601-635 HARRY L DR, STERLING OPTICAL
JOHNSON CITY, NY 13790

Broome County (607) 729-9179

LUXOTTICA RETAIL NORTH AMERICA INC

Eyewear Supplier

601-635 HARRY L DR, OAKDALE MALL
JOHNSON CITY, NY 13790

Broome County (607) 797-0414

DR. GERALD DONALD PRUDHOMME O.D.

Optometrist

601-635 HARRY L DR, SUITE 55
JOHNSON CITY, NY 13790

Broome County (607) 797-3519

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 Oakdale Mall Dental LLP's NPI number?

The NPI number for Oakdale Mall Dental LLP is 1801156674. It was assigned to this organization in the NPPES registry on May 25, 2012.

Where is Oakdale Mall Dental LLP located?

Oakdale Mall Dental LLP is located at 601-635 Harry L Dr 46, Johnson City, NY 13790. The listed phone number is (607) 770-8888.

What is Oakdale Mall Dental LLP's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Oakdale Mall Dental LLP was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.