Briarcliff Manor Dental Service PC

Primary specialty

DentistTaxonomy code 122300000X

License

0429821 Issued in NY

Legal business name

BRIARCLIFF MANOR DENTAL SERVICE PC

Practice address

1312 Pleasantville Rd
Briarcliff Manor, NY 10510-1601

Phone

(914) 941-4890

Fax

(914) 941-7770

NPI assigned

May 10, 2007

Last updated

Aug 22, 2020By 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. Michael Teitelbaum, DMDNPI 1356474134

Title

Pres

Phone

(914) 941-4890

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael Teitelbaum, DMD

  • Dentist
  • Briarcliff, NY
  • NPI 1356474134
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053525998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 PLEASANTVILLE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101601",
            "telephone_number": "914-941-4890",
            "fax_number": "914-941-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 PLEASANTVILLE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101601",
            "telephone_number": "914-941-4890",
            "fax_number": "914-941-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIARCLIFF MANOR DENTAL SERVICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEITELBAUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "914-941-4890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0429821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura E. Blute
• Regina Lynne Bremer, M.S.
• Briarcliff Family Footcare LLC
• Briarcliff Family Podiatry, PLLC
• Briarcliff Institute for Recovery & Development
• Briarcliff Oral & Maxillofacial Surgery PLLC
• Ajanna Brockenbaugh, MHC
• David M Brody, M.D.
• Deanna Carey, SCHOOL PSYCHOLOGIST
• Monica Carreira

• Dentist in Briarcliff Manor, NY
• Providers in Briarcliff Manor, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.