| Rockland Pediatric Dental, Pc | |
|
238 N Main St New City NY 10956-5302 | |
| (845) 634-8900 | |
| (845) 634-3978 |
| Full Name | Rockland Pediatric Dental, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 238 N Main St, New City, New York |
| Authorized Official Name and Position | Ralph Lawrence Berk (PRESIDENT) |
| Authorized Official Contact | 8456348900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockland Pediatric Dental, Pc 238 N Main St New City NY 10956-5302 Ph: (845) 634-8900 | Rockland Pediatric Dental, Pc 238 N Main St New City NY 10956-5302 Ph: (845) 634-8900 |
| NPI Number | 1407998966 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407998966 | NPI | - | NPPES |
| 045625 | Other | NY | LICENSE |
| 032270 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 032270 (New York) | Primary |
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