Advanced Dentistry of Rockland

Key facts

NPI: 1881965796
Entity type: Organization (NPI type 2)
Primary specialty: General Practice Dentistry 1223G0001X
License: 050128 (NY)
Legal business name: ADVANCED DENTISTRY OF ROCKLAND
Practice address: 5 N William St
Pearl River, NY 10965-2316
Phone: (845) 735-7770
NPI assigned: Jan 24, 2012
Organization subpart: No

Authorized official

Name: Dr. Dmitry Ovrutsky, D.D.S. NPI 1982677647
Title: Owner
Phone: (845) 735-7770

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Dmitry Ovrutsky, D.D.S. General Practice Dentistry · Pearl River, NY · NPI 1982677647

NPD (past) Authorized official GENERAL PRACTICE
Nicole A Zubrich General Practice Dentistry · Pearl River, NY · NPI 1710663240

NPD (past) GENERAL PRACTICE

National Provider Directory

Locations

5 N William St
Pearl River, NY 10965
Phone (845) 735-7770

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry Group: 193400000X SINGLE SPECIALTY GROUP	1223G0001X	050128	NY	Yes

Addresses

Primary practice location

5 N William St
Pearl River, NY 10965-2316

Mailing address

5 N William St
Pearl River, NY 10965-2316
Phone (845) 735-7770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 24, 2012.

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1881965796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N WILLIAM ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652316",
            "telephone_number": "845-735-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N WILLIAM ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652316",
            "telephone_number": "845-735-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTISTRY OF ROCKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "OVRUTSKY",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-735-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

All providers in Pearl River, NY · General Practice Dentistry in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.