Provider Demographics
NPI:1811645450
Name:HARBOR POINT AT PELHAM DENTAL, P.C.
Entity type:Organization
Organization Name:HARBOR POINT AT PELHAM DENTAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SPOSATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-208-1456
Mailing Address - Street 1:200 WESTAGE BUSINESS CTR DR STE 233
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2262
Mailing Address - Country:US
Mailing Address - Phone:845-897-2097
Mailing Address - Fax:
Practice Address - Street 1:4674 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-3055
Practice Address - Country:US
Practice Address - Phone:914-738-1033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty