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NPI Code Detail

MEDICARE: PAUL FLETCHER, D.D.S., P.C.,

MEDICARE: PAUL FLETCHER, D.D.S., P.C.,
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
11223P0300XPeriodontics31144NY

General Provider Information

NPI Number : 1952423725
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL FLETCHER, D.D.S., P.C.,
Provider Business Mailing Address
First Line : 10 RYE RIDGE PLZ
Second Line :
City : RYE BROOK
State : NY
Zip : 10573-2828
Country : US
Telephone Number : 914-253-8020
Fax Number : 914-253-9066
Provider Business Practice Location Address
First Line : 10 RYE RIDGE PLZ
Second Line :
City : RYE BROOK
State : NY
Zip : 10573-2828
Country : US
Telephone Number : 914-253-8020
Fax Number : 914-253-9066
Authorized Official
Title or Position : PERIODONTIST
Name : DR. PAUL FLETCHER
Credential : D.D.S.
Telephone Number : 914-253-8020
Provider Enumeration Date : 04/04/2007
Last Update Date : 08/22/2020

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