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IDP MIDDLETOWN NPI 1013310465


NPI Information

NPI: 1013310465
Provider Name: IDP MIDDLETOWN

Doing Business As: CORNERSTONE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
123 ACADEMY AVE
MIDDLETOWN, NY
ZIP 10940
Phone: (845) 342-4668
Get Directions

IDP MIDDLETOWN is a general practice dentist in Middletown, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. IDP MIDDLETOWN NPI is 1013310465. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cornerstone Dental.

The provider's business location address is:

123 ACADEMY AVE
MIDDLETOWN, NY
ZIP 10940-211
Phone: (845) 342-4668
Fax: (845) 342-0642

The provider's authorized official is Carolyn Reidy .
The authorized official title is Office Manager and has the following contact phone number (845) 342-4668.

The enumeration date for this NPI number is 9/30/2014 and was last updated on 9/30/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A100025537MEDICARE PINNEW YORK
26303980001MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.