Brewster Family and Cosmetic Dental PC
Organization Active NPI Dentist · Brewster, NY
NPI 1316357809 · NPPES record last updated Jul 2, 2015
Key facts
- NPI
- 1316357809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 041695-1 (NY)
- Legal business name
- BREWSTER FAMILY AND COSMETIC DENTAL PC
- Practice address
- 504 N Main St
Brewster, NY 10509-1230 - Phone
- (845) 279-3482
- NPI assigned
- May 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Stacie T Calian, DDS
- Title
- Owner
- Phone
- (845) 279-2482
Practitioners 1
-
Stacie Terri Calian, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 041695-1 | NY | Yes |
Addresses
Primary practice location
504 N Main St
Brewster, NY 10509-1230
Mailing address
504 N Main St
Brewster, NY 10509-1230
Phone (845) 279-3482
Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2015. 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.