Hudson Valley Tongue Tied Dental PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

HUDSON VALLEY TONGUE TIED DENTAL PC

Practice address

3630 Hill Blvd Ste 401
Jefferson Valley, NY 10535-1506

Phone

(914) 440-3211

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Ashley Witkiewicz

Title

Coo

Phone

(914) 440-3211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1497493951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 HILL BLVD STE 401",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351506",
            "telephone_number": "914-440-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 HILL BLVD STE 401",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351506",
            "telephone_number": "914-440-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY TONGUE TIED DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "WITKIEWICZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "914-440-3211"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Walter Gibson, DMD
• Young Ho Han, MD
• Julie Cyr Harris, DMD
• Myrna Hernandez, M.D.
• Mark Robert Honig, PHD
• Irwin Physical Therapy PC
• Arnold Lewis Isaacson, D.P.M.
• Jennifer Kantor Jackman, LCSW
• Carly Jacoby
• Jefferson Valley Dental Associates, P.C.

• Pediatric Dentistry in Jefferson Valley, NY
• Providers in Jefferson Valley, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.