Organization Active NPI

David J. Vallecorsa DDS PLLC

  • General Practice Dentistry
  • Latham, NY
National Provider Identifier
1043045461
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVID J. VALLECORSA DDS PLLC
Doing business as
Vallecorsa Family Dental
Practice address
4 Sunset Dr
Latham, NY 12110-2104
Phone
(518) 785-5100
Fax
(518) 785-5171
NPI assigned
Sep 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
David Vallecorsa, DDSNPI 1427154004
Title
Dentist/Owner
Phone
(518) 441-9405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4 Sunset Dr
Latham, NY 12110-2104

Mailing address

4 Sunset Dr
Latham, NY 12110-2104
Phone (518) 785-5100

Other names 1

  • Vallecorsa Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4 Sunset Dr
Latham, NY 12110
Phone (518) 785-5100

Practitioners & affiliated clinicians

Practitioners 3

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": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1043045461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SUNSET DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102104",
            "telephone_number": "518-785-5100",
            "fax_number": "518-785-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SUNSET DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102104",
            "telephone_number": "518-785-5100",
            "fax_number": "518-785-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. VALLECORSA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "VALLECORSA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "518-441-9405",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vallecorsa Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.