| Pine Street Dental Associates, P.c. | |
|
138 Pine St Suite 210 Kingston NY 12401-4947 | |
| (845) 338-6900 | |
| (845) 338-6013 |
| Full Name | Pine Street Dental Associates, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 138 Pine St, Kingston, New York |
| Authorized Official Name and Position | Charles Matthew Fliegler (DENTIST, OWNER) |
| Authorized Official Contact | 8453386900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Street Dental Associates, P.c. 138 Pine St Suite 210 Kingston NY 12401-4947 Ph: (845) 338-6900 | Pine Street Dental Associates, P.c. 138 Pine St Suite 210 Kingston NY 12401-4947 Ph: (845) 338-6900 |
| NPI Number | 1891761318 |
|---|---|
| Provider Enumeration Date | 02/24/2006 |
| Last Update Date | 09/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891761318 | NPI | - | NPPES |
| 0487491 | Other | NY | NYS DENTAL LICENSE |
| 040046 | Other | NY | NYS DENTAL LICENSE |
| 029231 | Other | NY | NYS DENTAL LICENSE |
| 044009 | Other | NY | NYS DENTAL LICENSE |
| 0526781 | Other | NY | NYS DENTAL LICENSE |
| 032380 | Other | NY | NYS DENTAL LICENSE |
| 038724 | Other | NY | NYS DENTAL LICENSE |
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