Provider Demographics
NPI:1356533459
Name:TREYZ, DOUGLAS ALLAN (DMD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ALLAN
Last Name:TREYZ
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:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:GOLDENS BRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10526-0262
Mailing Address - Country:US
Mailing Address - Phone:914-232-1619
Mailing Address - Fax:914-232-1620
Practice Address - Street 1:200 NORTH COUNTY CENTER
Practice Address - Street 2:SUITE 200
Practice Address - City:GOLDENS BRIDGE
Practice Address - State:NY
Practice Address - Zip Code:10526
Practice Address - Country:US
Practice Address - Phone:914-232-1619
Practice Address - Fax:914-232-1620
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY417591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice