Provider Demographics
NPI:1619528197
Name:DAVID ARANBAYEV DDS AND ROSE AMABLE DDS PLLC
Entity Type:Organization
Organization Name:DAVID ARANBAYEV DDS AND ROSE AMABLE DDS PLLC
Other - Org Name:ARDSLEY FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANBAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:646-552-6026
Mailing Address - Street 1:907 SAW MILL RIVER RD
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-1106
Mailing Address - Country:US
Mailing Address - Phone:646-552-6026
Mailing Address - Fax:
Practice Address - Street 1:907 SAW MILL RIVER RD
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1106
Practice Address - Country:US
Practice Address - Phone:646-552-6026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty