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EXCELDENT OF ORANGE SULLIVAN
NPI 1205079282
Dentist in Monticello, NY

Active since April 07, 2009
523 BROADWAY, MONTICELLO, NY 12701(845) 794-0706(845) 794-0606 Get Directions Write a Review

NPPES record last updated: April 7, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Exceldent Of Orange Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXCELDENT OF ORANGE SULLIVAN (NPI 1205079282) is a healthcare organization registered as a dentist in Monticello, New York and active in the NPI registry since April 2009. The organization lists Lori Rivas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205079282
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEXCELDENT OF ORANGE SULLIVAN
Location Address523 BROADWAYMonticello, NY 12701
Mailing Address523 BroadwayMonticello, NY 12701-1111 · (845) 794-0706 · Fax (845) 794-0606
Phone(845) 794-0706
Fax(845) 794-0606
Organization SubpartNo
Authorized OfficialLori RivasOffice Manager · (845) 794-0706
Enumeration DateApril 7, 2009
✔ NPI 1205079282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NY · 041682-1✔ Licensed in NY · 050306✔ Licensed in NY · 054091✔ Licensed in PA · 044624-1
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 026906 (NY)
523 BROADWAY, Monticello, NY 12701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY WAYNE BERSON DDS
Dentist
523 BROADWAY, SUITE 2
MONTICELLO, NY 12701
Sullivan County (845) 796-3368
DR. JOHN E GARNETT DDS
Dentist
523 BROADWAY, SUITE # 1
MONTICELLO, NY 12701
Sullivan County (845) 794-0706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Exceldent Of Orange Sullivan's NPI number?

The NPI number for Exceldent Of Orange Sullivan is 1205079282. It was assigned to this organization in the NPPES registry on April 7, 2009.

Where is Exceldent Of Orange Sullivan located?

Exceldent Of Orange Sullivan is located at 523 Broadway, Monticello, NY 12701. The listed phone number is (845) 794-0706.

What is Exceldent Of Orange Sullivan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Exceldent Of Orange Sullivan was last updated on April 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.