Paul France Cosgrove, DDS
Individual provider Active NPI General Practice Dentistry · Baldwin, NY
NPI 1295894541 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295894541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 048114-1 (NY)
- Practice address
- 1700 Grand Ave
Baldwin, NY 11510 - Phone
- (516) 379-3204
- Fax
- (516) 379-3209
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 048114-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Dental Arts PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 048114-1 | NY | Yes |
Addresses
Primary practice location
1700 Grand Ave
Baldwin, NY 11510
Mailing address
1700 Grand Ave
Baldwin, NY 11510
Phone (516) 379-3204
Other providers in Baldwin, NY
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- Tracy L Cohen
- Jessy Colah
- Melissa Cooper-Siegel
- Cornerstone Kids OT PC
- Cox Clinical Social Work Services P.C.
- Charles E Cox
- Jessica Coyer
- Kathryn Rose Coyle
- Nonie Craige
All providers in Baldwin, 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 Jul 8, 2007. 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.