MIDDLETOWN DENTAL PC NPI 1548454861

NPI Information

NPI: 1548454861
Provider Name: MIDDLETOWN DENTAL PC
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Doing Business As: MIDDLETOWN DENTAL GROUP
Address: 9 BERT CRAWFORD RD
SUITE 101
MIDDLETOWN, NY
ZIP 10940
Phone: (845) 343-2192

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NPI Details

MIDDLETOWN DENTAL PC 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. MIDDLETOWN DENTAL PC NPI is 1548454861. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Middletown Dental Group.

The provider's business location address is:

9 BERT CRAWFORD RD
SUITE 101
MIDDLETOWN, NY
ZIP 10940-138
Phone: (845) 343-2192
Fax: (845) 342-9211

The provider's authorized official is Craig S Shapiro .
The authorized official title is President and has the following contact phone number (845) 343-2192.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 8/29/2007.

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
1	1223P0106X	Dentist	Oral and Maxillofacial Pathology	47090	NEW YORK	No
2	1223G0001X	Dentist	General Practice	47090	NEW YORK	Yes

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
1	02011076	MEDICAID	NEW 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: 11/21/2025

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