Brewster Family and Cosmetic Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

041695-2 Issued in NY

Legal business name

BREWSTER FAMILY AND COSMETIC DENTAL PC

Practice address

504 N Main St
Brewster, NY 10509-1230

Phone

(845) 279-3482

Fax

(845) 278-1782

NPI assigned

Oct 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Stacie Terri Calian, DDS

Title

Owner

Phone

(845) 279-3482

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1053716670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N MAIN ST",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091230",
            "telephone_number": "845-279-3482",
            "fax_number": "845-278-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N MAIN ST",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091230",
            "telephone_number": "845-279-3482",
            "fax_number": "845-278-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWSTER FAMILY AND COSMETIC DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "CALIAN",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "TERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-279-3482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "041695-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janina Irmelin Braun, DDS
• John Michael Brawley, LMSW
• Brewster Central School District
• Brewster Central School District
• Brewster Central School District
• Brewster Family and Cosmetic Dental PC
• Brewster Family Dental, PLLC
• Brewster Physical Therapy, P.C.
• Brewster Southeast EMS Inc.
• Gail Brick, LCSW-R

• Dentist in Brewster, NY
• Providers in Brewster, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.