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CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC NPI 1023031085


NPI Information

NPI: 1023031085
Provider Name: CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC

Doing Business As: FIRST ADVANTAGE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1092 ROUTE 9
QUEESNBURY, NY
ZIP 12804
Phone: (518) 798-9561
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CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC is a general practice dentist in Queesnbury, 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. CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC NPI is 1023031085. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As First Advantage Dental.

The provider's business location address is:

1092 ROUTE 9
QUEESNBURY, NY
ZIP 12804
Phone: (518) 798-9561

The provider's authorized official is Celia Hayes .
The authorized official title is Credentialing Coordinator and has the following contact phone number (217) 540-2100.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 3/1/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsNo
21223P0300XDentistPeriodonticsNo
31223S0112XDentistOral and Maxillofacial SurgeryNo
41223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
51223G0001XDentistGeneral 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101145404MEDICAIDNEW 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: 11/14/2023

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