Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brewerton Family Dentistry

Organization Dentist · NPI 1164553079

Brewerton Family Dentistry is a Dentist in Brewerton, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

5501 Bartel Rd
Brewerton, NY 13029-8701
Phone: (315) 676-2209
Fax: (315) 676-2247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 051614 (NY)

Record details

NPI number1164553079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Imadeh Nosegbe — Owner · (315) 676-2209
NPI enumeratedMarch 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 830, Brewerton, NY 13029-0830

Other providers in Brewerton