Tiffany Sudre, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

058154 Issued in NY

Practice address

1557 Route 82 Unit 8
Hopewell Junction, NY 12533-3328

Phone

(845) 243-2300

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pleasantville Smiles Dentistry LLC

  dba Pleasantville Smiles

  • Dental Clinic/Center
  • Pleasantville, NY
  • NPI 1790502961
  NPD Authorized official
• Erin M. Prunty DDS, PLLC

  dba Taconic Dental

  • Dentist
  • Hopewell Junction, NY
  • NPI 1023445061
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1669888343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S BUCKHOUT ST",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105332205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 ROUTE 82 UNIT 8",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333328",
            "telephone_number": "845-243-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDRE",
        "first_name": "TIFFANY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennine Michelle Spennacchio, M.S, CCC-SLP, TSSLD
• Anthony Nicholas Spera, PHARMD
• Christine Spinelli, RN
• Meghan Staten, LPN
• William A Stolfi, DDS
• Hannah Sullivan, CCC-SLP
• Susan M. Perkins NP Psychiatry Counseling Services, PLLC
• Richard Edward Swanson
• Maria Rosa Tarczali, MA/ CCC-SLP
• Alexandra Tarricone, COTA

• General Practice Dentistry in Hopewell Junction, NY
• Providers in Hopewell Junction, 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 May 26, 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.