Healthcare Provider Details

I. General information

NPI: 1356580658
Provider Name (Legal Business Name): DR. JOSEF G. BIEBER & DR. CLAYTON J. HISE, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2009
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 ROUTE 52
FISHKILL NY
12524-1563
US

IV. Provider business mailing address

831 ROUTE 52
FISHKILL NY
12524-1563
US

V. Phone/Fax

Practice location:
  • Phone: 845-896-8400
  • Fax: 845-896-8032
Mailing address:
  • Phone: 845-896-8400
  • Fax: 845-896-8032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number032598
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number030759
License Number StateNY

VIII. Authorized Official

Name: DR. JOSEF G. BIEBER
Title or Position: PARTNER
Credential: D.D.S.
Phone: 845-896-8400