OrganizationActive
Shoppingtown Dental Services PC
NPI 1417317041 · Clinic/Center · De Witt, NY
Shoppingtown Dental Services PC is a Clinic/Center organization in De Witt, NY (NPI 1417317041).
Provider details
- NPI number
- 1417317041
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Praveen Simlote, President(315) 446-6406
- License
- 035492 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
6607 Kinne Rd
De Witt, NY 13214-1871
Phone: (315) 446-6406
Street-level locationGet directions
Mailing address
6607 Kinne Rd
Dewitt, NY 13214
Other names (DBA / former)
- Doing business as
- No
Registry dates
- Enumerated
- 2016-02-24
- Last updated
- 2016-02-24
Frequently asked questions
- What is Shoppingtown Dental Services PC's NPI number?
- Shoppingtown Dental Services PC's National Provider Identifier (NPI) is 1417317041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shoppingtown Dental Services PC?
- Shoppingtown Dental Services PC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shoppingtown Dental Services PC located?
- Shoppingtown Dental Services PC's practice location on file with NPPES is 6607 Kinne Rd, De Witt, NY 13214-1871.
- What is Shoppingtown Dental Services PC's phone number?
- The practice phone number listed in the NPPES registry for Shoppingtown Dental Services PC is (315) 446-6406.
- Who is the authorized official for Shoppingtown Dental Services PC?
- The authorized official listed on Shoppingtown Dental Services PC's NPPES record is Praveen Simlote, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shoppingtown Dental Services PC's NPI active?
- Yes — Shoppingtown Dental Services PC's NPI (1417317041) is active in the NPPES registry as of the last update on 2016-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.