Active NPI
Dolson Avenue Dental PC
- General Practice Dentistry
- Middletown, NY
National Provider Identifier
1245330372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 046217
- Legal business name
- DOLSON AVENUE DENTAL PC
- Practice address
- 75 Dolson Ave
Middletown, NY 10940 - Phone
- (845) 342-1533
- Fax
- (845) 344-1571
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Scott Waldman
- Title
- President Owner
- Phone
- (845) 342-1533
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 046217 | NY | Primary |
Addresses
Primary practice location
75 Dolson Ave
Middletown, NY 10940
Mailing address
75 Dolson Avenue
Middletown, NY 10940
Phone (845) 342-1533
National Provider Directory
National Provider DirectoryLocations
75 Dolson Ave
Middletown, NY 10940
Phone (845) 208-5063
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Middletown, NY
- NPI 1669572798
-
- Dentist
- Hyde Park, NY
- NPI 1548676224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217376000000",
"number": "1245330372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 DOLSON AVENUE",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "10940",
"telephone_number": "845-342-1533",
"fax_number": "845-344-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 DOLSON AVE",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "10940",
"telephone_number": "845-342-1533",
"fax_number": "845-344-1571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOLSON AVENUE DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2008-07-30",
"status": "A",
"authorized_official_last_name": "WALDMAN",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "845-342-1533",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "046217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.