Provider Demographics
NPI:1508195694
Name:VARGAS AND OSHAUGHNESSY DDS PLLC
Entity Type:Organization
Organization Name:VARGAS AND OSHAUGHNESSY DDS PLLC
Other - Org Name:CHAPPAQUA SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:K
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-238-0202
Mailing Address - Street 1:1 SOUTH GREELEY AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514
Mailing Address - Country:US
Mailing Address - Phone:914-238-0202
Mailing Address - Fax:914-238-8465
Practice Address - Street 1:1 SOUTH GREELEY AVE
Practice Address - Street 2:STE 202
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514
Practice Address - Country:US
Practice Address - Phone:914-238-0202
Practice Address - Fax:914-238-8465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054238261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental