PALISADES DENTAL P.C. NPI 1164023479

NPI Information

  • NPI: 1164023479
  • Provider Name: PALISADES DENTAL P.C.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 2118 ALBANY POST RD
    MONTROSE, NY
    ZIP 10548
  • Phone: (914) 417-4159

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NPI Details

PALISADES DENTAL P.C. is a general practice dentist in Montrose, 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. PALISADES DENTAL P.C. NPI is 1164023479. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2118 ALBANY POST RD
MONTROSE, NY
ZIP 10548-458
Phone: (914) 417-4159

The provider's authorized official is Sang Moon .
The authorized official title is President and has the following contact phone number (914) 417-4159.

The enumeration date for this NPI number is 11/3/2020 and was last updated on 11/3/2020.

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

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: 11/21/2025

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