Tri-State Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TRI-STATE DENTISTRY PLLC

Practice address

26 W Merritt Blvd
Fishkill, NY 12524-2243

Phone

(856) 418-5436

NPI assigned

Mar 29, 2019

Last updated

Mar 29, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

TRI-STATE DENTISTRY, LLCAs reported in NPPES

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

Authorized official

Name

Shamik Desai

Title

Partner

Phone

(856) 418-5436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1831650910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W MERRITT BLVD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W MERRITT BLVD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242243",
            "telephone_number": "856-418-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE DENTISTRY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-STATE DENTISTRY, LLC",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SHAMIK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "856-418-5436"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.