| Middletown Dental Group | |
|
9 Bert Crawford Rd Suite 101 Middletown NY 10940-2138 | |
| (845) 343-2192 | |
| (845) 342-9211 |
| Full Name | Middletown Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9 Bert Crawford Rd, Middletown, New York |
| Authorized Official Name and Position | Craig S Shapiro (PRESIDENT) |
| Authorized Official Contact | 8453432192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middletown Dental Group 9 Bert Crawford Rd Suite 101 Middletown NY 10940-2138 Ph: (845) 343-2192 | Middletown Dental Group 9 Bert Crawford Rd Suite 101 Middletown NY 10940-2138 Ph: (845) 343-2192 |
| NPI Number | 1548454861 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 08/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548454861 | NPI | - | NPPES |
| 02011076 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47090 (New York) | Primary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 47090 (New York) | Secondary |
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› Verified 6 days ago
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