Provider Demographics
NPI:1265599187
Name:BRUCE L. ROTHSCHILD DDS & ASSOCIATES PLLC
Entity type:Organization
Organization Name:BRUCE L. ROTHSCHILD DDS & ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GERI
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-623-0305
Mailing Address - Street 1:300 N MIDDLETOWN RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1262
Mailing Address - Country:US
Mailing Address - Phone:845-623-0305
Mailing Address - Fax:845-623-2870
Practice Address - Street 1:300 N MIDDLETOWN RD.
Practice Address - Street 2:SUITE 9
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965
Practice Address - Country:US
Practice Address - Phone:845-623-0305
Practice Address - Fax:845-623-2870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty