Organization
CONGERS DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW BASTA D.M.D (OWNER)
(845) 268-3828
Entity
Organization
Contact information
Practice address
1 SHERIDAN AVE, CONGERS, NY 10920-2011
(845) 268-3828
(845) 268-0279
Mailing address
1 SHERIDAN AVE, CONGERS, NY 10920-2011
(845) 268-3828
(845) 268-0279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
026446-1
NY
122300000X
Dentist
Primary
051163-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
026906-1
NY
124Q00000X
Dental Hygienist
013121-1
NY
124Q00000X
Dental Hygienist
014349
NY
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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