Provider Demographics
NPI:1205051166
Name:KALMAN, PAUL (DMD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:KALMAN
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 1:54 SOUTH LIBERTY DRIVE
Mailing Address - Street 2:ROUTE 9W
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980
Mailing Address - Country:US
Mailing Address - Phone:845-429-1300
Mailing Address - Fax:845-429-0400
Practice Address - Street 1:54 SOUTH LIBERTY DRIVE
Practice Address - Street 2:ROUTE 9W
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980
Practice Address - Country:US
Practice Address - Phone:845-429-1300
Practice Address - Fax:845-429-0400
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10325501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice