Active NPI
David J. Vallecorsa DDS PLLC
- General Practice Dentistry
- Latham, NY
National Provider Identifier
1043045461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Vallecorsa, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Latham, NY
- NPI 1427154004
-
- Dentist
- Latham, NY
- NPI 1821613464
-
- Dentist
- Latham, NY
- NPI 1174957641
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.