| Organization Name: | NEW PALTZ DENTAL CARE PLLC |
| NPI Number: | 1134495203 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOEL FISCHER (SOLE MEMBER) |
| Mailing Address: | 3 Plattekill Ave New Paltz |
| State: | NY US |
| Postal Code: | 125611918 |
| Phone Number: | 8452558350 |
| Fax Number: | 8452552620 |
| NPI Enumeration Date: | 03/22/2012 |
| NPI Last Update Date: | 03/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |