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EXCELDENT OF ORANGE SULLIVAN NPI 1205079282


NPI Information

NPI: 1205079282
Provider Name: EXCELDENT OF ORANGE SULLIVAN
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
523 BROADWAY
MONTICELLO, NY
ZIP 12701
Phone: (845) 794-0706
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EXCELDENT OF ORANGE SULLIVAN is a dentist in Monticello, NY. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. EXCELDENT OF ORANGE SULLIVAN NPI is 1205079282. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

523 BROADWAY
MONTICELLO, NY
ZIP 12701
Phone: (845) 794-0706
Fax: (845) 794-0606

The provider's authorized official is Lori Rivas .
The authorized official title is Office Manager and has the following contact phone number (845) 794-0706.

The enumeration date for this NPI number is 4/7/2009 and was last updated on 4/7/2009.


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
1122300000XDentist050306NEW YORKNo
2122300000XDentist054091NEW YORKNo
3122300000XDentist044624-1PENNSYLVANIANo
41223S0112XDentistOral and Maxillofacial Surgery026906NEW YORKNo
5122300000XDentist041682-1NEW YORKYes

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.