BROOK DENTAL PC NPI 1619030061

NPI Information

  • NPI: 1619030061
  • Provider Name: BROOK DENTAL PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 686 STONELEIGH AVE
    SUITE 1A
    CARMEL, NY
    ZIP 10512
  • Phone: (845) 225-8802

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NPI Details

BROOK DENTAL PC is a general practice dentist in Carmel, 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. BROOK DENTAL PC NPI is 1619030061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

686 STONELEIGH AVE
SUITE 1A
CARMEL, NY
ZIP 10512-931
Phone: (845) 225-8802
Fax: (845) 225-8802

The provider's authorized official is Ruth L Masso .
The authorized official title is Dentist Owner and has the following contact phone number (845) 225-8802.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 1/12/2015.

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 Practice048064NEW YORKYes

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
101917197MEDICAIDNEW 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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