OrganizationActive
Fayetteville Family Dentistry
NPI 1831790500 · Dentist · Fayetteville, NY
Fayetteville Family Dentistry is a Dentist organization in Fayetteville, NY (NPI 1831790500).
Provider details
- NPI number
- 1831790500
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Imadeh Nosegbe, Owner(315) 373-0869
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
6962 Highbridge Rd
Fayetteville, NY 13066-9705
Phone: (315) 373-0869
Street-level locationGet directions
Mailing address
6962 Highbridge Rd
Fayetteville, NY 13066-9705
Registry dates
- Enumerated
- 2020-11-08
- Last updated
- 2020-11-08
- Certified
- 2020-11-08
Frequently asked questions
- What is Fayetteville Family Dentistry's NPI number?
- Fayetteville Family Dentistry's National Provider Identifier (NPI) is 1831790500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fayetteville Family Dentistry?
- Fayetteville Family Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Fayetteville Family Dentistry located?
- Fayetteville Family Dentistry's practice location on file with NPPES is 6962 Highbridge Rd, Fayetteville, NY 13066-9705.
- What is Fayetteville Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Fayetteville Family Dentistry is (315) 373-0869.
- Who is the authorized official for Fayetteville Family Dentistry?
- The authorized official listed on Fayetteville Family Dentistry's NPPES record is Imadeh Nosegbe, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fayetteville Family Dentistry's NPI active?
- Yes — Fayetteville Family Dentistry's NPI (1831790500) is active in the NPPES registry as of the last update on 2020-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.