NPIMap

Organization Active NPI

Gentle Dentistry of Lancaster, PLLC

Doing business as Main Street Dentistry

  • General Practice Dentistry
  • Fishkill, NY
National Provider Identifier
1659037059
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GENTLE DENTISTRY OF LANCASTER, PLLC
Doing business as
Main Street Dentistry
Practice address
8 Church St Ste 1
Fishkill, NY 12524-1323
Phone
(845) 897-5140
NPI assigned
Nov 10, 2021
Last updated
Nov 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Hillary Thull
Title
Credentialing Coordinator
Phone
(217) 540-8946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

8 Church St Ste 1
Fishkill, NY 12524-1323

Mailing address

8 Church St Ste 1
Fishkill, NY 12524-1323

Other names 1

  • Main Street Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentle Dentistry of Lancaster PLLC19 organizations share this tax ID, including this one
Part of
Gentle Dentistry of Lancaster PLLC

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

8 Church St
Ste 1
Fishkill, NY 12524
Phone (845) 897-5140

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1659037059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CHURCH ST STE 1",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CHURCH ST STE 1",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241323",
            "telephone_number": "845-897-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTISTRY OF LANCASTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "THULL",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8946"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.