| Esopus Dental, Pc | |
|
105 Woodcrest Drive Rifton NY 12471 | |
| (845) 658-8131 | |
| Not Available |
| Full Name | Esopus Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Woodcrest Drive, Rifton, New York |
| Authorized Official Name and Position | Josef Loewenthal (VICE PRESIDENT) |
| Authorized Official Contact | 8454817014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esopus Dental, Pc 10 Hellbrook Lane Ulster Park NY 12487 Ph: (845) 481-7014 | Esopus Dental, Pc 105 Woodcrest Drive Rifton NY 12471 Ph: (845) 658-8131 |
| NPI Number | 1508885898 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508885898 | NPI | - | NPPES |
| 02532218 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52863 (New York) | Primary |