Gopalakrishna K Vastare, DDS
Dentist in Nanuet, NY. Individual provider (NPI-1).
NPI number1992885677
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1992885677
- Entity type
- Individual (NPI-1)
- Name
- Gopalakrishna K Vastare
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2006
- Last updated
- Jul 8, 2007
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 | 040649 | NY | Yes |
Practice location
206 East Route 59Nanuet, NY 10954
Phone 845-623-4435 · Fax 845-623-0415
Mailing address
206 East Route 59Nanuet, NY 10954
Phone 845-623-4435 · Fax 845-623-0415
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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 Nanuet, NY
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- Richard William Derfuss, D.D.S.NPI 1235267881
- Stuart Edelstein, DDSNPI 1568473833
- Jaine E Mathew, D.D.SNPI 1205142775
- Jeffrey Alan Scharf, D.D.S.NPI 1922202381
- David Lee Schept, DMDNPI 1619087368
All 8 Dentist providers in Nanuet · All 1,037 providers in Nanuet
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