Paige Backenstose, DDS
Dentist, General Practice in Kingston, NY. Individual provider (NPI-1).
NPI number1164041935
StatusActive
Last updated in NPPESApr 13, 2020
Details
- NPI
- 1164041935
- Entity type
- Individual (NPI-1)
- Name
- Paige Backenstose
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2020
- Certification date
- Apr 13, 2020
- Last updated
- Apr 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 060768 | NY | Yes |
Practice location
139 Pine St Ste 210Kingston, NY 12401-4901
Phone 845-338-6900
Mailing address
139 Pine St Ste 210Kingston, NY 12401-4901
Phone 845-338-6900
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