MIDDLETOWN DENTAL PC (NPI# 1548454861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548454861 |
| Entity Type | Organization |
| Organization Name | MIDDLETOWN DENTAL PC |
| Other Organization Name | MIDDLETOWN DENTAL GROUP |
| Practice Address |
9 Bert Crawford Rd Suite 101 Middletown NY 10940-2138 |
| Practice Telephone | 8453432192 |
| Practice Fax Number | 8453429211 |
| Mailing Telephone | 8453432192 |
| Mailing Fax Number | 8453429211 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | DR. CRAIG S SHAPIRO (PRESIDENT) |
| Authorized Official Telephone | 8453432192 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
47090 | NY | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
47090 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02011076 | 05 |
| Other Name | Type Code |
|---|---|
| middletown dental group | Doing Business As Name - Organization |
| Street Address |
9 BERT CRAWFORD RD SUITE 101 |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730138041 | Craig S Shapiro | Dentist | 9 Bert Crawford Rd, Suite 101, Middletown, NY 10940-2102 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215546023 | Jennifer Yu | Dentist | 3421 Towne Blvd, Middletown, OH 45005-5507 | 2020-07-28 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1235379488 | Hua-yu Steven Liao | Dentist | 345 Middlewood Rd, Middletown, NJ 07748-1332 | 2009-03-01 |
| 1871731141 | Loni Ann Musi | Dentist | 594 East Main Street, Middletown, NY 10940 | 2009-01-26 |
| 1568625184 | Middletown Dental Associates | Dentist | 2207 Central Ave, Middletown, OH 45044-4603 | 2008-07-03 |
| 1932361235 | Jonathan William Titus | Dentist | 4573 E State Road 236, Middletown, IN 47356-9207 | 2008-06-27 |
| 1326205105 | Matthew Lee Seda | Dentist | 106 Saint Annes Church Rd, Middletown, DE 19709-1495 | 2008-05-20 |
| 1356547715 | Sophia Husain | Dentist | 201 Carter Dr, Suite A, Middletown, DE 19709-5843 | 2007-06-22 |
| 1609070036 | David Leo Ainbinder | Dentist | 2 Albert St, Middletown, NY 10940-3902 | 2007-06-11 |
| 1982815734 | Middletown Family Dental | Dentist | 236 N Breiel Blvd, Middletown, OH 45042-3808 | 2007-05-24 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on MIDDLETOWN DENTAL PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.