Countryside Dental
Countryside Dental is a General Practice Dentistry in Chatham, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
42 Kinderhook StChatham, NY 12037-1207
Phone: (518) 392-5231
Fax: (518) 392-7339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 045941 (NY) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 039271 (NY) |
Record details
| NPI number | 1952558074 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Domenic Riccobono — Owner · (518) 392-5231 |
| NPI enumerated | August 20, 2008 |
| Last updated in NPPES | August 20, 2008 |
| Mailing address | 42 Kinderhook St, Chatham, NY 12037-1207 |
Other providers in Chatham
-
Dr. Domenic Riccobono, DDS
42 Kinderhook St, Chatham, NY 12037-1207 · (518) 392-5231