MEDICARE: DR. ROBERT ANTHONY CONCA DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	064901	NY
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1093445470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ANTHONY CONCA DMD

Provider Business Mailing Address
First Line	:	24 SANDY PINES BLVD
Second Line	:
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-8212
Country	:	US
Telephone Number	:	845-240-4537
Fax Number	:

Provider Business Practice Location Address
First Line	:	1323 US-9
Second Line	:	#209
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590
Country	:	US
Telephone Number	:	845-297-0757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2022
Last Update Date	:	07/02/2026

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