Provider Demographics
NPI:1992994685
Name:PACHTER, ORAN (DMD)
Entity type:Individual
Prefix:DR
First Name:ORAN
Middle Name:
Last Name:PACHTER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-2535
Mailing Address - Country:US
Mailing Address - Phone:845-343-8212
Mailing Address - Fax:845-343-8232
Practice Address - Street 1:465 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2535
Practice Address - Country:US
Practice Address - Phone:845-343-8212
Practice Address - Fax:845-343-8232
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2011-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053668-11223X0400X
NJ22DI023611001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics