Healthcare Provider Details

I. General information

NPI: 1295047090
Provider Name (Legal Business Name): DENNIS CHRISTOPHER DOYLE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 ROUTE 311
CARMEL NY
10512-5215
US

IV. Provider business mailing address

172 ROUTE 311
CARMEL NY
10512-5215
US

V. Phone/Fax

Practice location:
  • Phone: 845-225-3406
  • Fax:
Mailing address:
  • Phone: 845-225-3406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number50-055587
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: