- Practice location
- 222 Main St, Cornwall, NY 12518-1514
- Phone
- 845-534-3828
- Fax
- —
- Last updated
- March 25, 2024
Marvel Smiles Cornwall Dental PLLC is a healthcare organization based in Cornwall, NY. Marvel Smiles Cornwall Dental PLLC practices in Cornwall, NY. The NPI Number for Marvel Smiles Cornwall Dental PLLC is 1720838493. The current practice location address for Marvel Smiles Cornwall Dental PLLC is 222 Main St, Cornwall, NY 12518-1514 and can be reached out via phone at 845-534-3828.
Provider Profile Details
- NPI Number
- 1720838493
- Provider Name
- Marvel Smiles Cornwall Dental PLLC
- Provider Entity Type
- Organization
- Address
- 222 Main St, Cornwall, NY 12518-1514
- Phone Number
- 845-534-3828
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Mr. Anurag Harsh · Ceo · 212-220-3333
- Other Names
- Creating Dental Excellence Cornwall (Doing Business As)
- Provider Enumeration Date
- March 25, 2024
- Last Update Date
- March 25, 2024
- Certification Date
- March 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 222 Main St
Cornwall, NY 12518-1514 - City
- Cornwall
- State
- New York
- Zip
- 12518-1514
- Phone Number
- 845-534-3828
Provider Business Mailing Address Details
- Address
- 388A Undercliff Ave
Edgewater, NJ 07020-7251 - City
- Edgewater
- State
- NJ
- Zip
- 07020-7251
- Phone Number
- 212-220-3333
License Information
- Taxonomy (1)
- Dentist · 122300000X
- Taxonomy (2)
- Dentist, Endodontics · 1223E0200X
- Taxonomy (3)
- Dentist, General Practice · 1223G0001X · Primary
- Taxonomy (4)
- Dentist, Periodontics · 1223P0300X
- Taxonomy (5)
- Dental Hygienist · 124Q00000X
- Taxonomy (6)
- Dental Assistant · 126800000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Cornwall, NY
View all Dentist, General Practice providers in Cornwall →Frequently Asked Questions
What is the NPI number of Marvel Smiles Cornwall Dental PLLC?
The NPI number of Marvel Smiles Cornwall Dental PLLC is 1720838493. It was assigned on March 25, 2024 and is currently active in the NPPES registry.
What is the specialty of Marvel Smiles Cornwall Dental PLLC?
Marvel Smiles Cornwall Dental PLLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Marvel Smiles Cornwall Dental PLLC practice?
The practice location is 222 Main St, Cornwall, NY 12518-1514. The office can be reached at 845-534-3828 (phone).
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 1720838493 directly on the NPPES registry website.