OrganizationActive
1500 Grant Blvd Dentistry, PLLC
NPI 1497263685 · Dental Clinic/Center · Syracuse, NY
1500 Grant Blvd Dentistry, PLLC is a Dental Clinic/Center organization in Syracuse, NY (NPI 1497263685).
Provider details
- NPI number
- 1497263685
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Arun Balakumar, Ceo(315) 472-3414
- License
- 051141 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1500 Grant Blvd
Syracuse, NY 13208-3014
Phone: (315) 472-3414
Fax: (315) 472-4320
Street-level locationGet directions
Mailing address
1500 Grant Blvd
Syracuse, NY 13208-3014
Registry dates
- Enumerated
- 2018-01-22
- Last updated
- 2018-01-22
Frequently asked questions
- What is 1500 Grant Blvd Dentistry, PLLC's NPI number?
- 1500 Grant Blvd Dentistry, PLLC's National Provider Identifier (NPI) is 1497263685, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1500 Grant Blvd Dentistry, PLLC?
- 1500 Grant Blvd Dentistry, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is 1500 Grant Blvd Dentistry, PLLC located?
- 1500 Grant Blvd Dentistry, PLLC's practice location on file with NPPES is 1500 Grant Blvd, Syracuse, NY 13208-3014.
- What is 1500 Grant Blvd Dentistry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for 1500 Grant Blvd Dentistry, PLLC is (315) 472-3414.
- Who is the authorized official for 1500 Grant Blvd Dentistry, PLLC?
- The authorized official listed on 1500 Grant Blvd Dentistry, PLLC's NPPES record is Arun Balakumar, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1500 Grant Blvd Dentistry, PLLC's NPI active?
- Yes — 1500 Grant Blvd Dentistry, PLLC's NPI (1497263685) is active in the NPPES registry as of the last update on 2018-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.