Provider Demographics
NPI:1568639003
Name:HUDSON FAMILY & COSMETIC DENTISTRY P.C.
Entity Type:Organization
Organization Name:HUDSON FAMILY & COSMETIC DENTISTRY P.C.
Other - Org Name:LESTER A. KEMPLER, D.D.S. AND RENATO M. CHIMINELLI, D.D.S, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RENATO
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHIMINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-828-1712
Mailing Address - Street 1:66 GREEN STREET
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2328
Mailing Address - Country:US
Mailing Address - Phone:518-828-1712
Mailing Address - Fax:518-822-9670
Practice Address - Street 1:66 GREEN STREET
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2328
Practice Address - Country:US
Practice Address - Phone:518-828-1712
Practice Address - Fax:518-822-9670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty