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NPI Code Detail

MEDICARE: PALISADES DENTAL ASSOCIATES

MEDICARE: PALISADES DENTAL ASSOCIATES
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
1122300000XDentist

General Provider Information

NPI Number : 1326147166
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALISADES DENTAL ASSOCIATES
Provider Business Mailing Address
First Line : 381 S LITTLE TOR RD
Second Line :
City : NEW CITY
State : NY
Zip : 10956-1427
Country : US
Telephone Number : 845-634-5208
Fax Number :
Provider Business Practice Location Address
First Line : 381 S LITTLE TOR RD
Second Line :
City : NEW CITY
State : NY
Zip : 10956-1427
Country : US
Telephone Number : 845-634-5208
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : KIMBERLY LAMANNA
Credential :
Telephone Number : 845-634-5208
Provider Enumeration Date : 09/21/2006
Last Update Date : 08/22/2020

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Directions to “PALISADES DENTAL ASSOCIATES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.