# TRI-STATE DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRI-STATE DENTISTRY, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831650910
- **Legal business name:** TRI-STATE DENTISTRY, LLC
- **Authorized official:** SHAMIK DESAI (PARTNER)
- **Authorized official phone:** (856) 418-5436

## Contact information

- **Practice address:** 26 W MERRITT BLVD, FISHKILL, NY 12524-2243
- **Practice address phone:** (856) 418-5436
- **Mailing address:** 26 W MERRITT BLVD, FISHKILL, NY 12524-2243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2019
- **Last updated:** 03/29/2019