Active NPIIndividual provider

Vitaly Gutkovich, DDS

Dentist in Monroe, New York

NPI Number1942490909
Practice location
20 Millpond Parkway, Dental Care Solutions, Monroe, NY 10950
Fax
845-783-8529
Last updated
July 26, 2007

Vitaly Gutkovich is a Dentist based in Monroe, NY. Vitaly Gutkovich practices in Monroe, NY and has the professional credentials of DDS. The NPI Number for Vitaly Gutkovich is 1942490909 and holds a License No. 046579 (NY). The current practice location address for Vitaly Gutkovich is 20 Millpond Parkway, Dental Care Solutions, Monroe, NY 10950 and can be reached out via phone at 845-783-8741 and via fax at 845-783-8529.

Provider Profile Details

NPI Number
1942490909
Provider Name
Vitaly Gutkovich
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
20 Millpond Parkway, Dental Care Solutions, Monroe, NY 10950
Phone Number
845-783-8741
Fax Number
845-783-8529
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 26, 2007
Last Update Date
July 26, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Millpond Parkway
Dental Care Solutions
Monroe, NY 10950
City
Monroe
Zip
10950
Phone Number
845-783-8741
Fax Number
845-783-8529
Monroe, NY 10950Get directions →

Provider Business Mailing Address Details

Address
20 Millpond Parkway
Dental Care Solutions
Monroe, NY 10950
City
Monroe
State
NY
Zip
10950
Phone Number
845-783-8741
Fax Number
845-783-8529

License Information

License Number (1)
046579
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
DN17425
License State (2)
FL
Taxonomy (2)
Dentist · 122300000X
License Number (3)
046579
License State (3)
NY
Taxonomy (3)
Dentist, General Practice · 1223G0001X

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 Vitaly Gutkovich, DDS?

The NPI number of Vitaly Gutkovich, DDS is 1942490909. It was assigned on July 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Vitaly Gutkovich, DDS?

Vitaly Gutkovich, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 046579.

Where does Vitaly Gutkovich, DDS practice?

The practice location is 20 Millpond Parkway, Dental Care Solutions, Monroe, NY 10950. The office can be reached at 845-783-8741 (phone) or 845-783-8529 (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 1942490909 directly on the NPPES registry website.

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