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

Primary Teeth Pediatric Dentistry PLLC

Organization Pediatric Dentistry · NPI 1114548617

Primary Teeth Pediatric Dentistry PLLC is a Pediatric Dentistry in Gloversville, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

199 S Main St
Gloversville, NY 12078-4240
Phone: (518) 601-2220
Fax: (518) 601-2221
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1114548617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jake Fried — Owner · (518) 601-2220
NPI enumeratedMay 6, 2020
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020
Mailing address199 S Main St, Gloversville, NY 12078-4240