# JOSEPH DEBIASE DDS PLLC

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

## Provider details

- **NPI number:** 1962949859
- **Authorized official:** DR. JOSEPH DANIEL DEBIASE DDS (OWNER)
- **Authorized official phone:** (914) 908-4939

## Contact information

- **Practice address:** 245 SAW MILL RIVER RD, SUITE 304A, HAWTHORNE, NY 10532-1526
- **Practice address phone:** (914) 908-4939
- **Practice address fax:** (914) 968-2323
- **Mailing address:** 711 LINDA AVE, THORNWOOD, NY 10594-1534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 056765 | NY | Yes |

## Other

- **Enumeration date:** 01/30/2017
- **Last updated:** 01/30/2017