Daniel J. Gerowitz, DDS
Individual provider Active NPI Dentist · West Point, NY
NPI 1245906239 · NPPES record last updated Aug 26, 2022
Key facts
- NPI
- 1245906239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 123393939921 (UT)
- Practice address
- 646 Swift Rd BLDG 606
West Point, NY 10996-1942 - Phone
- (845) 938-4212
- NPI assigned
- Aug 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 123393939921 | UT | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 123393939921 | UT | Yes |
Addresses
Primary practice location
646 Swift Rd BLDG 606
West Point, NY 10996-1942
Mailing address
646 Swift Rd BLDG 606
West Point, NY 10996-1942
Phone (845) 938-4212
Other practice location 1
USA dental health activity
4301 Wilson Street
Fort Sill, OK 73503
Phone (580) 558-2795
Other providers in West Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2022. 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.