Clarkstown Dental Practice PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CLARKSTOWN DENTAL PRACTICE PC

Doing business as

clarkstown advanced dentistry

Practice address

285 N Route 303 Ste 11
Congers, NY 10920-1425

Phone

(845) 267-8686

Fax

(845) 268-2870

NPI assigned

Jan 26, 2024

Last updated

Jan 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reza Jabbary, DMD

Title

President

Phone

(845) 267-8686

Specialties & licenses 1

Addresses

Other names 1

• clarkstown advanced dentistry Doing business as

Locations

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1265294052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 N ROUTE 303 STE 11",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201425",
            "telephone_number": "845-267-8686",
            "fax_number": "845-268-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N ROUTE 303 STE 11",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201425",
            "telephone_number": "845-267-8686",
            "fax_number": "845-268-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSTOWN DENTAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "JABBARY",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-267-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clarkstown advanced dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donya Lashawn Carter, NP
• Cary J Alevy DDS PC
• Antoinette A Celetti, OTR/L
• Andrea Cioffi
• Gail Cirlin-Lazerus, LCSW
• Community Care Pharmacy Inc
• Janet Miner Concklin, LCSW
• Congers Dental Arts
• Congers Dental Care, P.C.
• Congers Pharmacy Inc (Community Care Pharmacy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.