Provider Demographics
NPI:1891804597
Name:DEKORNFELD, GEORGE FRANCIS (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:FRANCIS
Last Name:DEKORNFELD
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 1:5 OAK ST
Mailing Address - Street 2:
Mailing Address - City:PAWLING
Mailing Address - State:NY
Mailing Address - Zip Code:12564-1027
Mailing Address - Country:US
Mailing Address - Phone:845-855-1424
Mailing Address - Fax:845-855-1544
Practice Address - Street 1:5 OAK ST
Practice Address - Street 2:
Practice Address - City:PAWLING
Practice Address - State:NY
Practice Address - Zip Code:12564-1027
Practice Address - Country:US
Practice Address - Phone:845-855-1424
Practice Address - Fax:845-855-1544
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041051122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist