David J. Vallecorsa DDS PLLC
Dentist, General Practice in Latham, NY. Organization (NPI-2).
NPI number1043045461
StatusActive
Last updated in NPPESAug 22, 2025
Details
- NPI
- 1043045461
- Entity type
- Organization (NPI-2)
- Legal business name
- David J. Vallecorsa DDS PLLC
- Organization subpart
- No
- Enumeration date
- Sep 5, 2024
- Certification date
- Aug 22, 2025
- Last updated
- Aug 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Vallecorsa Family Dental (Doing Business As)
Practice location
4 Sunset DrLatham, NY 12110-2104
Phone 518-785-5100 · Fax 518-785-5171
Mailing address
4 Sunset DrLatham, NY 12110-2104
Phone 518-785-5100 · Fax 518-785-5171
Authorized official
David Vallecorsa
Dentist/Owner
5184419405
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