Oak Tree Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

035071 Issued in NY

Legal business name

OAK TREE FAMILY DENTAL

Practice address

2410 RT. 6
Brewster, NY 10509

Phone

(845) 279-7177

Fax

(845) 278-2526

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Lisa A Mahar

Title

Office Manager

Phone

(845) 279-7177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1639436876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ROUTE 6",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092527",
            "telephone_number": "845-279-7177",
            "fax_number": "845-278-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 RT. 6",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "10509",
            "telephone_number": "845-279-7177",
            "fax_number": "845-278-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "MAHAR",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-279-7177",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Nuccitelli, PSY.D.
• Nymedputnam, Inc.
• Theresa Margaret O'Halloran, LMHC
• Katherine O'Sullivan, LCSW
• Oak Tree Dental Care PC
• Leslie Toni Oberhofer
• Samantha Obrien
• Tatiana P Ochoa
• McKenzie Odale
• Kenneth Ojwang Ogana

• General Practice Dentistry in Brewster, NY
• Providers in Brewster, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.