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EAST TOWN DENTAL
NPI 1972026904
Clinic/Center - Dental in Alden, NY

Active since July 21, 2017
12763 BROADWAY ST, ALDEN, NY 14004(716) 902-6402 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 21, 2017 (2 updates tracked since 2017).

About East Town Dental NPPES

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

EAST TOWN DENTAL (NPI 1972026904) is a healthcare organization registered as a dental in Alden, New York and active in the NPI registry since July 2017. The organization lists Chad Froebel, Member, as its authorized official.

NPPES Registry Identity

NPI1972026904
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameALDEN DENTAL PLLC
Location Address12763 BROADWAY STAlden, NY 14004-9569
Mailing Address12763 Broadway StAlden, NY 14004-9569 · (716) 902-6402
Phone(716) 902-6402
Organization SubpartNo
Authorized OfficialChad FroebelMember · (716) 902-6402
Enumeration DateJuly 21, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1972026904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
12763 BROADWAY ST, Alden, NY 14004
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Other Names 1

Doing Business AsEast Town Dental

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 Alden Dental PLLC's NPI number?

The NPI number for Alden Dental PLLC is 1972026904. It was assigned to this organization in the NPPES registry on July 21, 2017. The provider is doing business as East Town Dental.

Where is Alden Dental PLLC located?

Alden Dental PLLC is located at 12763 Broadway St, Alden, NY 14004. The listed phone number is (716) 902-6402.

What is Alden Dental 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 Alden Dental PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.