Provider Demographics
NPI:1386869360
Name:VALENTI, DARRELL E (DDS)
Entity type:Individual
Prefix:DR
First Name:DARRELL
Middle Name:E
Last Name:VALENTI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 HALSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-2623
Mailing Address - Country:US
Mailing Address - Phone:914-381-5228
Mailing Address - Fax:203-698-2406
Practice Address - Street 1:333 HALSTEAD AVE
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-2623
Practice Address - Country:US
Practice Address - Phone:914-381-5228
Practice Address - Fax:203-698-2406
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0444981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY044498OtherSTATE ID