Provider Demographics
NPI:1962913897
Name:VALLEY DENTAL DESIGNS, PC
Entity type:Organization
Organization Name:VALLEY DENTAL DESIGNS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANCYGIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-245-7100
Mailing Address - Street 1:3630 HILL BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10535-1503
Mailing Address - Country:US
Mailing Address - Phone:914-245-7100
Mailing Address - Fax:
Practice Address - Street 1:3630 HILL BLVD STE 101
Practice Address - Street 2:
Practice Address - City:JEFFERSON VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10535-1503
Practice Address - Country:US
Practice Address - Phone:914-245-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental