Provider Demographics
NPI:1801886676
Name:NOTHING BUT THE TOOTH DENTAL PRACTICE, PC
Entity type:Organization
Organization Name:NOTHING BUT THE TOOTH DENTAL PRACTICE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PIZER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-828-1597
Mailing Address - Street 1:117 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2322
Mailing Address - Country:US
Mailing Address - Phone:518-828-1597
Mailing Address - Fax:518-828-3494
Practice Address - Street 1:117 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2322
Practice Address - Country:US
Practice Address - Phone:518-828-1597
Practice Address - Fax:518-828-3494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0279121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty