Rondout Valley Family Dentistry

LBN: Rondout Valley Family Dentistry
Rondout Valley Family Dentistry is an health care organization with primary practice located at 10 Gagnon Drive , Stone Ridge NY 12484. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Rondout Valley Family Dentistry can be contacted via phone (845) 687-0600, or through St. Hill, Wayne William via phone (845) 687-0600.

Contact Information

Primary practice address
10 Gagnon Drive Stone Ridge NY 12484
Phone: (845) 687-0600
Fax: (845) 687-7296
Website:
Map and Directions
Authorized official contact:
Name: St. Hill, Wayne William Doctor of Dental Surgery (DDS)
Phone: (845) 687-0600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 034680 New York

Profile Details

NPI number 1548540800
LBN Legal business name Rondout Valley Family Dentistry
DBA Doing business as
Authorized official St. Hill, Wayne William Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2011
Last updated Aug 18th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548540800 NPPES
New York MEDICAID 00465316

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