RONDOUT VALLEY FAMILY DENTISTRY (NPI# 1548540800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548540800 |
| Entity Type | Organization |
| Organization Name | RONDOUT VALLEY FAMILY DENTISTRY |
| Practice Address |
10 Gagnon Drive Stone Ridge NY 12484 |
| Mailing Address |
Po Box 235 Stone Ridge NY 12484-0235 |
| Practice Telephone | 8456870600 |
| Practice Fax Number | 8456877296 |
| Mailing Telephone | 8456870600 |
| Mailing Fax Number | 8456877296 |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |
| Authorized Official Name | MR. WAYNE WILLIAM ST. HILL (PRESIDENT) |
| Authorized Official Telephone | 8456870600 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
034680 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00465316 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | RONDOUT VALLEY FAMILY DENTISTRY, P.C. | Rondout Professional Building, Route 209, Stone Ridge, Ny 12484 |
| Street Address |
10 GAGNON DRIVE |
| City | STONE RIDGE |
| State | NY |
| Zip Code | 12484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417967530 | Wayne William St Hill | Dentist | 10 Gagnon Drive, Rte 209, Stone Ridge, NY 12484 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964706 | Hurley Avenue Family Medicine | Family Medicine | 10 Gagnon Dr., Stone Ridge, NY 12484 | 2018-06-05 |
| 1053691014 | Helena Nikolajevic | Acupuncturist | 24 Albright Lane, Stone Ridge, NY 12484 | 2011-08-23 |
| 1346532090 | Stone Ridge Chiropractic, PC | Chiropractor | 3631 Main Street, Stoneridge, NY 12484 | 2011-05-12 |
| 1760681829 | Elizabeth S Loughren | Registered Nurse | 766 Old Turnpike Rd, In Care of Dr Wm Thomas, Sherburne, NY 12484 | 2007-07-17 |
| 1457472789 | Sondra D. Tillou | Chiropractor | Rt. 209 & Mt. View, Stone Ridge, NY 12484 | 2007-04-03 |
| 1336269539 | Renee Gabrielle Sabin-haggerty | Pharmacist | 3852 Main St, Rite Aid Store #10704, Stone Ridge, NY 12484 | 2007-03-30 |
| 1114028818 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 3852 Main Street, Stone Ridge, NY 12484 | 2006-09-26 |
| 1902897242 | Timothy E Deschenes | Chiropractor | Box 514, 3631 Main Street, Stone Ridge, NY 12484 | 2005-11-04 |
| 1023388147 | Alicia Ann Marquis-serson | Speech-Language Pathologist | 122 Kyserike Road, Stone Ridge, NY 12484 | 2012-01-05 |
| 1558566463 | Kara Tucker | Social Worker | 3457 Main St, Stone Ridge, NY 12484 | 2007-06-19 |
| Find all providers in zip 12484 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380246 | Charles R Hoeg Dmd PC | Clinic/Center | 45 Route 25a Ste A1, Shoreham, NY 11786-1389 | 2020-09-10 |
| 1801409016 | Daniel Babadzhanov Dmd Pllc | Clinic/Center | 7025 Yellowstone Blvd Ste 1o, Forest Hills, NY 11375-3165 | 2020-08-26 |
| 1417567611 | Hudson River Dental | Clinic/Center | 1 Baltic Pl Ste 104, Croton On Hudson, NY 10520-1642 | 2020-08-03 |
| 1316556897 | Bridget E. Sweeney, Dds, Pllc | Clinic/Center | 6043 Transit Road, Suite 102, Clarence, NY 14031 | 2020-07-30 |
| 1679182919 | Avalon Dental, PC | Clinic/Center | 20103 Northern Blvd Fl 1, Flushing, NY 11361-2563 | 2020-07-22 |
| 1104442706 | Igor Dekhkanov Dds PC | Clinic/Center | 438 Graham Ave Fl 1, Brooklyn, NY 11211-1415 | 2020-06-19 |
| 1245852334 | Walter G Neuhaus Dds PC | Clinic/Center | 2825 Niagara Falls Blvd Ste 170, Amherst, NY 14228-2000 | 2020-05-12 |
| 1487274445 | Rock A Smile Dental Studio Pllc | Clinic/Center | 9708 Rockaway Blvd, Ozone Park, NY 11417-1615 | 2020-04-20 |
| 1033738414 | Samina Haque Dmd Pllc | Clinic/Center | 25012 Hillside Ave Ste A, Bellerose, NY 11426-2139 | 2020-04-15 |
| 1366077844 | New York Dental Care, Pllc | Clinic/Center | 124 E 40th St Rm 302, New York, NY 10016-1723 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | STONE RIDGE |
| Zip Code | 12484 |
Please comment or provide details below to improve the information on RONDOUT VALLEY FAMILY DENTISTRY.
| 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.