Union Street Dentistry
Dentist in Schenectady, NY. Organization (NPI-2).
NPI number1497907448
StatusActive
Last updated in NPPESOct 21, 2008
Details
- NPI
- 1497907448
- Entity type
- Organization (NPI-2)
- Legal business name
- Union Street Dentistry
- Organization subpart
- No
- Enumeration date
- Oct 21, 2008
- Last updated
- Oct 21, 2008
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 051914-1 | NY | Yes |
Other names
- Union Street Dental (Doing Business As)
Practice location
1740 Union StSchenectady, NY 12309-6233
Phone 518-346-6429 · Fax 518-346-8495
Mailing address
1740 Union StSchenectady, NY 12309-6233
Phone 518-346-6429 · Fax 518-346-8495
Authorized official
Angelina M Santa Maria
Practice Administrator
5183466429
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