Stowe Road Dental PLLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

STOWE ROAD DENTAL PLLC

Practice address

2 Stowe Rd Ste 8
Peekskill, NY 10566-2582

Phone

(914) 737-1515

NPI assigned

Oct 2, 2023

Last updated

Oct 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Evan Rosen, DMDNPI 1407175078

Title

President

Phone

(914) 737-1515

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evan Rosen, DMD

  • Prosthodontics
  • Somers, NY
  • NPI 1407175078
  NPD Authorized official
• Cynthia Kuang

  • Periodontics
  • Peekskill, NY
  • NPI 1285377283
  NPD
• Alfred Scott Bassin, D.M.D.

  • General Practice Dentistry
  • Carmel, NY
  • NPI 1457328452
  NPD (past)

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1003696717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STOWE RD STE 8",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662582",
            "telephone_number": "914-737-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STOWE RD STE 8",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662582",
            "telephone_number": "914-737-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOWE ROAD DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-30",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-737-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Traver
• Stephanie Traver, LCSW, Psychotherapy Services P.L.L.C.
• Lalita Stevenson
• Jessica Stingle, RDN, CDN
• Jennifer Stolzenberg
• Ryang J. Suh, M.D.
• John Michael Sullivan, L.C.S.W., C.A.S.A.C.
• Sun River Health Inc.
• Sun River Health Inc.
• Miriam Surval, CSW

• Prosthodontics in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.