Provider Demographics
NPI:1134495203
Name:NEW PALTZ DENTAL CARE PLLC
Entity Type:Organization
Organization Name:NEW PALTZ DENTAL CARE PLLC
Other - Org Name:ARIEL DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-255-8350
Mailing Address - Street 1:3 PLATTEKILL AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-1918
Mailing Address - Country:US
Mailing Address - Phone:845-255-8350
Mailing Address - Fax:845-255-2620
Practice Address - Street 1:3 PLATTEKILL AVE
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1918
Practice Address - Country:US
Practice Address - Phone:845-255-8350
Practice Address - Fax:845-255-2620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031553122300000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty