Pine Street Dental Associates, P.c. | |
138 Pine St Suite 210 Kingston NY 12401-4947 | |
(845) 338-6900 | |
(845) 338-6013 |
Full Name | Pine Street Dental Associates, P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 138 Pine St, Kingston, New York |
Authorized Official Name and Position | Charles Matthew Fliegler (DENTIST, OWNER) |
Authorized Official Contact | 8453386900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pine Street Dental Associates, P.c. 138 Pine St Suite 210 Kingston NY 12401-4947 Ph: (845) 338-6900 | Pine Street Dental Associates, P.c. 138 Pine St Suite 210 Kingston NY 12401-4947 Ph: (845) 338-6900 |
NPI Number | 1891761318 |
---|---|
Provider Enumeration Date | 02/24/2006 |
Last Update Date | 09/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891761318 | NPI | - | NPPES |
0487491 | Other | NY | NYS DENTAL LICENSE |
040046 | Other | NY | NYS DENTAL LICENSE |
029231 | Other | NY | NYS DENTAL LICENSE |
044009 | Other | NY | NYS DENTAL LICENSE |
0526781 | Other | NY | NYS DENTAL LICENSE |
032380 | Other | NY | NYS DENTAL LICENSE |
038724 | Other | NY | NYS DENTAL LICENSE |
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