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General NPI Number Information
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NPI Number | 1932012929
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Entity Type | Organization
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Legal Business Name | SMILEWORKS DENTAL OF THE HUDSON VALLEY
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 180 E FRONT ST
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City | HANCOCK
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State | NY
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Zip | 13783-1242
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Country | US
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Telephone | 607-298-2404
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Fax | 607-298-2080
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Provider Business Mailing Address
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Address Line | 275 NORTH ST
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City | NEWBURGH
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State | NY
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Zip | 12550-3143
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Country | US
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Telephone | 845-561-2494
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Fax | 845-561-0681
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARY DANIEL WAGNER
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Credential |
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Telephone | 845-561-2494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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