# RONDOUT VALLEY FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548540800
- **Authorized official:** MR. WAYNE WILLIAM ST. HILL D.D.S. (PRESIDENT)
- **Authorized official phone:** (845) 687-0600

## Contact information

- **Practice address:** 10 GAGNON DRIVE, STONE RIDGE, NY 12484
- **Practice address phone:** (845) 687-0600
- **Practice address fax:** (845) 687-7296
- **Mailing address:** PO BOX 235, STONE RIDGE, NY 12484-0235
- **Mailing address phone:** (845) 687-0600
- **Mailing address fax:** (845) 687-7296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 034680 | NY | Yes |

## Other

- **Enumeration date:** 08/18/2011
- **Last updated:** 08/18/2011