NPIMap

Organization Active NPI

Thompson Town Dental PLLC

  • Clinic/Center
  • Port Jervis, NY
National Provider Identifier
1003538158
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THOMPSON TOWN DENTAL PLLC
Practice address
26 Fowler St
Port Jervis, NY 12771-2534
Phone
(845) 856-4331
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Wills Albert, DMD
Title
Owner
Phone
(845) 477-1447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

26 Fowler St
Port Jervis, NY 12771-2534

Mailing address

615 Pawnee LN
Franklin LKS, NJ 07417-2815
Phone (908) 591-7858

Other names 1

  • Port Jervis Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dailey Family Dental4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1003538158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PAWNEE LN",
            "city": "FRANKLIN LKS",
            "state": "NJ",
            "postal_code": "074172815",
            "telephone_number": "908-591-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FOWLER ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712534",
            "telephone_number": "845-856-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON TOWN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2023-09-06",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WILLS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-477-1447",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Jervis Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.