Organization Active NPI

Gentle Dental of Newburgh PLLC

  • Dentist
  • Newburgh, NY
National Provider Identifier
1053138859
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GENTLE DENTAL OF NEWBURGH PLLC
Practice address
1450 Route 300 Ste 202
Newburgh, NY 12550-2690
Phone
(845) 561-3689
NPI assigned
Sep 23, 2024
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Dr. Saidapet Sridhar, DDSNPI 1447442397
Title
Owner/Primary Dentist
Phone
(845) 561-3689

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1450 Route 300 Ste 202
Newburgh, NY 12550-2690

Mailing address

1450 Route 300 Ste 202
Newburgh, NY 12550-2690
Phone (845) 561-3689

National Provider Directory

National Provider Directory

Locations

1450 Route 300
Ste 202
Newburgh, NY 12550
Phone (845) 561-3689

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1053138859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ROUTE 300 STE 202",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502690",
            "telephone_number": "845-561-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ROUTE 300 STE 202",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502690",
            "telephone_number": "845-561-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTAL OF NEWBURGH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "SRIDHAR",
        "authorized_official_first_name": "SAIDAPET",
        "authorized_official_title_or_position": "OWNER/PRIMARY DENTIST",
        "authorized_official_telephone_number": "845-561-3689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.