Healthcare Provider Details
I. General information
NPI: 1376452201
Provider Name (Legal Business Name): ROCKLAND COUNTY DENTISTRY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
180 E POST RD FL 1
WHITE PLAINS NY
10601-4910
US
IV. Provider business mailing address
667 STONELEIGH AVE STE 207
CARMEL NY
10512-2455
US
V. Phone/Fax
- Phone: 914-428-5335
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NIMESH
PATEL
Title or Position: OWNER
Credential: DMD
Phone: 914-962-9600