Provider Demographics
NPI:1487779088
Name:B & D DENTAL ASSOCIATION
Entity type:Organization
Organization Name:B & D DENTAL ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUNAYER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:845-623-1881
Mailing Address - Street 1:1 CROSFIELD AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2222
Mailing Address - Country:US
Mailing Address - Phone:845-623-1881
Mailing Address - Fax:845-623-1990
Practice Address - Street 1:1 CROSFIELD AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2222
Practice Address - Country:US
Practice Address - Phone:845-623-1881
Practice Address - Fax:845-623-1990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0400291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty