Active NPIIndividual providerSole proprietor

Dr. Eugene M Tedaldi Sr., DDS

Dentist in Bedford, New York

NPI Number1053590646
Practice location
Main Street 26-28 Village Green, Suite 5, Bedford, NY 10506
Fax
914-763-5544
Last updated
October 31, 2007

Eugene Michael Tedaldi is a Dentist based in Bedford, NY. Eugene Michael Tedaldi practices in Bedford, NY and has the professional credentials of DDS. The NPI Number for Eugene Michael Tedaldi is 1053590646 and holds a License No. 020483 (NY). The current practice location address for Eugene Michael Tedaldi is Main Street 26-28 Village Green, Suite 5, Bedford, NY 10506 and can be reached out via phone at 914-234-7462 and via fax at 914-763-5544.

Provider Profile Details

NPI Number
1053590646
Provider Name
Eugene Michael Tedaldi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
Main Street 26-28 Village Green, Suite 5, Bedford, NY 10506
Phone Number
914-234-7462
Fax Number
914-763-5544
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Other Names
Dr. Eugene Michael Tedaldi, DDS (Professional Name)
Provider Enumeration Date
October 31, 2007
Last Update Date
October 31, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Main Street 26-28 Village Green
Suite 5
Bedford, NY 10506
Zip
10506
Phone Number
914-234-7462
Fax Number
914-763-5544
Bedford, NY 10506Get directions →

Provider Business Mailing Address Details

Address
Po Box 378
Suite 5
Bedford, NY 10506
City
Bedford
State
NY
Zip
10506
Phone Number
914-234-7462
Fax Number
914-763-5544

License Information

License Number
020483
License State
NY
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Eugene M Tedaldi Sr., DDS?

The NPI number of Dr. Eugene M Tedaldi Sr., DDS is 1053590646. It was assigned on October 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Eugene M Tedaldi Sr., DDS?

Dr. Eugene M Tedaldi Sr., DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 020483.

Where does Dr. Eugene M Tedaldi Sr., DDS practice?

The practice location is Main Street 26-28 Village Green, Suite 5, Bedford, NY 10506. The office can be reached at 914-234-7462 (phone) or 914-763-5544 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053590646 directly on the NPPES registry website.

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