Provider Demographics
NPI:1639293855
Name:AUSTER, PETER R (DMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:R
Last Name:AUSTER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 RT. 202
Mailing Address - Street 2:SUITE #14
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970
Mailing Address - Country:US
Mailing Address - Phone:845-364-0400
Mailing Address - Fax:845-364-5189
Practice Address - Street 1:1540 RT. 202
Practice Address - Street 2:SUITE 14
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970
Practice Address - Country:US
Practice Address - Phone:845-364-0400
Practice Address - Fax:845-364-5189
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036021122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist