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Organization
MIDDLETOWN DENTAL PC
Active
Organization
MIDDLETOWN DENTAL PC
Active
Other names
middletown dental group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG S SHAPIRO DMD (PRESIDENT)
(845) 343-2192
Entity
Organization
Contact information
Practice address
9 BERT CRAWFORD RD, SUITE 101, MIDDLETOWN, NY 10940-2138
(845) 343-2192
(845) 342-9211
Mailing address
9 BERT CRAWFORD RD, SUITE 101, MIDDLETOWN, NY 10940-2138
(845) 343-2192
(845) 342-9211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47090
NY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
47090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02011076
—
NY
Enumeration date
08/29/2007
Last updated
08/29/2007
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