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Renaissance Dental PC

Dentist in Delmar, NY. Organization (NPI-2).

NPI number1457729337
StatusActive
Last updated in NPPESSep 22, 2016

Details

NPI
1457729337
Entity type
Organization (NPI-2)
Legal business name
Renaissance Dental PC
Organization subpart
No
Enumeration date
Sep 9, 2015
Last updated
Sep 22, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist052174NYYes
1223G0001X Dentist, General Practice052174NY

Other names

  • Albany County Dental Associates (Doing Business As)

Practice location

4 Normanskill Blvd
Delmar, NY 12054-1335

Phone 518-261-4800

Mailing address

4 Normanskill Blvd
Delmar, NY 12054-1335

Phone 518-261-4800

Authorized official

Marina Shraga
President
5182614800

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Delmar, NY

All 6 Dentist providers in Delmar · All 455 providers in Delmar

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