Provider Demographics
NPI:1316553613
Name:HIGHLAND FALLS DENTAL ASSOCIATE
Entity Type:Organization
Organization Name:HIGHLAND FALLS DENTAL ASSOCIATE
Other - Org Name:HIHLAND FALLS DENTAL ASSOCIATE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FABER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-446-3500
Mailing Address - Street 1:70 VILLA PKWY
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:10928-1615
Mailing Address - Country:US
Mailing Address - Phone:845-446-3500
Mailing Address - Fax:
Practice Address - Street 1:70 VILLA PKWY
Practice Address - Street 2:
Practice Address - City:HIGHLAND FALLS
Practice Address - State:NY
Practice Address - Zip Code:10928-1615
Practice Address - Country:US
Practice Address - Phone:845-446-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty