Exceldent Dental of Suffern

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EXCELDENT DENTAL OF SUFFERN

Practice address

5 Hemion Rd
Montebello, NY 10901-4903

Phone

(845) 357-3244

Fax

(845) 357-3251

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Mary Jozel Pauwels

Title

Office Manager

Phone

(845) 357-3244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1124132261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HEMION RD",
            "city": "MONTEBELLO",
            "state": "NY",
            "postal_code": "109014903",
            "telephone_number": "845-357-3244",
            "fax_number": "845-357-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HEMION RD",
            "city": "MONTEBELLO",
            "state": "NY",
            "postal_code": "109014903",
            "telephone_number": "845-357-3244",
            "fax_number": "845-357-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELDENT DENTAL OF SUFFERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "PAUWELS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JOZEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-357-3244"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.