OrganizationActive
Primary Teeth Pediatric Dentistry PLLC
NPI 1114548617 · Pediatric Dentistry · Gloversville, NY
Primary Teeth Pediatric Dentistry PLLC is a Pediatric Dentistry organization in Gloversville, NY (NPI 1114548617).
Provider details
- NPI number
- 1114548617
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jake Fried, Owner(518) 601-2220
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
199 S Main St
Gloversville, NY 12078-4240
Phone: (518) 601-2220
Fax: (518) 601-2221
Street-level locationGet directions
Mailing address
199 S Main St
Gloversville, NY 12078-4240
Registry dates
- Enumerated
- 2020-05-06
- Last updated
- 2020-05-06
- Certified
- 2020-05-06
Frequently asked questions
- What is Primary Teeth Pediatric Dentistry PLLC's NPI number?
- Primary Teeth Pediatric Dentistry PLLC's National Provider Identifier (NPI) is 1114548617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primary Teeth Pediatric Dentistry PLLC?
- Primary Teeth Pediatric Dentistry PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Primary Teeth Pediatric Dentistry PLLC located?
- Primary Teeth Pediatric Dentistry PLLC's practice location on file with NPPES is 199 S Main St, Gloversville, NY 12078-4240.
- What is Primary Teeth Pediatric Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Primary Teeth Pediatric Dentistry PLLC is (518) 601-2220.
- Who is the authorized official for Primary Teeth Pediatric Dentistry PLLC?
- The authorized official listed on Primary Teeth Pediatric Dentistry PLLC's NPPES record is Jake Fried, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primary Teeth Pediatric Dentistry PLLC's NPI active?
- Yes — Primary Teeth Pediatric Dentistry PLLC's NPI (1114548617) is active in the NPPES registry as of the last update on 2020-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.