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Brewerton Family Dentistry

Dentist in Brewerton, NY · enumerated 2007 · authorized official Imadeh Nosegbe, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164553079

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Registry record

Entity type Organization (Type 2)
Legal business name Brewerton Family Dentistry
Practice address 5501 Bartel Rd, Brewerton, NY, 13029
Phone (315) 676-2209
Fax (315) 676-2247
Enumeration date Mar 9, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

122300000X Dentist Dental Providers · License 051614 (NY) Primary

Authorized official

Name Imadeh Nosegbe
Title Owner
Phone (315) 676-2209

Other identifiers

Identifier Type State Issuer
02570547 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Brewerton Family Dentistry?
Brewerton Family Dentistry is registered in NPPES as a Dentist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.