Paige Backenstose, DDS
Individual provider Active NPI General Practice Dentistry · Kingston, NY
NPI 1164041935 · NPPES record last updated Apr 13, 2020
Key facts
- NPI
- 1164041935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 060768 (NY)
- Practice address
- 139 Pine St Ste 210
Kingston, NY 12401-4901 - Phone
- (845) 338-6900
- NPI assigned
- Apr 13, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060768 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 060768 | NY | Yes |
Addresses
Primary practice location
139 Pine St Ste 210
Kingston, NY 12401-4901
Mailing address
139 Pine St Ste 210
Kingston, NY 12401-4901
Phone (845) 338-6900
Other providers in Kingston, NY
- Meredith Auerbach
- Augustus Guarente OD
- Nancy Auriemma
- B. Kapila, P.C.
- Lisa Babb
- Susan A Baez
- Beth Aimee Bagner
- Ebrima Bah
- Balance Point Acupuncture and Massage Therapy PLLC
- Melissa Ann Bamford
All providers in Kingston, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.