Provider Demographics
NPI:1417177643
Name:ALFONSO F PINEYRO DDS PC
Entity Type:Organization
Organization Name:ALFONSO F PINEYRO DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PINEYRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-993-3023
Mailing Address - Street 1:90 CANAL ST
Mailing Address - Street 2:ALFONSO F PINEYRO DDS PC
Mailing Address - City:FORT PLAIN
Mailing Address - State:NY
Mailing Address - Zip Code:13339
Mailing Address - Country:US
Mailing Address - Phone:518-993-3023
Mailing Address - Fax:218-993-3023
Practice Address - Street 1:90 CANAL ST
Practice Address - Street 2:ALFONSO F PINEYRO DDS PC
Practice Address - City:FORT PLAIN
Practice Address - State:NY
Practice Address - Zip Code:13339
Practice Address - Country:US
Practice Address - Phone:518-993-3023
Practice Address - Fax:218-993-3023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031743122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty