Bruce Cuttler, DDS
Individual provider Active NPI Dentist · Red Hook, NY
NPI 1407066210 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407066210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 033612 (NY)
- Practice address
- 102 W Market St
Red Hook, NY 12571-1547 - Phone
- (845) 758-9871
- Fax
- (845) 758-3109
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 033612 | NY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 033612 | NY | Yes |
Addresses
Primary practice location
102 W Market St
Red Hook, NY 12571-1547
Mailing address
102 W Market St
Red Hook, NY 12571-1547
Phone (845) 758-9871
Other providers in Red Hook, NY
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.