Provider Demographics
NPI:1801099973
Name:OPPENHEIMER, DENNIS (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:
Last Name:OPPENHEIMER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 TERRA RD
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477-3073
Mailing Address - Country:US
Mailing Address - Phone:845-246-5599
Mailing Address - Fax:877-220-1266
Practice Address - Street 1:195 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4831
Practice Address - Country:US
Practice Address - Phone:845-514-2815
Practice Address - Fax:917-382-2441
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0493401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice