Organization
BUCHANAN DENTAL ARTS PLLC
Active
Parent organization
BUCHANAN DENTAL ARTS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUCHANAN DENTAL ARTS PLLC
Authorized official
SHAY MARKOVITCH DDS (OWNER)
(914) 737-6300
Entity
Organization
Contact information
Practice address
107 BANNON AVE, BUCHANAN, NY 10511-1301
(914) 737-6300
(914) 737-6302
Mailing address
107 BANNON AVE, BUCHANAN, NY 10511-1301
(914) 737-6300
(914) 737-6302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/12/2015
Last updated
11/19/2019
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