Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Galleria Mall Dental PC

Organization Dentist · NPI 1932326618

Galleria Mall Dental PC is a Dentist in Middletown, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 N Galleria Dr Ste 141
Middletown, NY 10941-3030
Phone: (845) 692-9212
Fax: (845) 692-9215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 042707 (NY)
Dentist Taxonomy 122300000X · Licence 049213 (NY)
Dentist Taxonomy 122300000X · Licence 052828 (NY)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 048760 (NY)

Record details

NPI number1932326618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ross Krasnov — Office Administrator · (845) 692-9212
NPI enumeratedApril 20, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1 N Galleria Dr Ste 141, Middletown, NY 10941-3030

Other providers in Middletown