JEFFERSON VALLEY PEDIATRIC DENTISTRY
NPI 1366120842
Dentist - Pediatric Dentistry in Jefferson Valley, NY

Active since July 06, 2023
3630 HILL BLVD STE 101, JEFFERSON VALLEY, NY 10535(914) 245-7100 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jefferson Valley Pediatric Dentistry NPPES

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

JEFFERSON VALLEY PEDIATRIC DENTISTRY (NPI 1366120842) is a healthcare organization registered as a pediatric dentistry in Jefferson Valley, New York and active in the NPI registry since July 2023. The organization lists Ashley Witkiewicz, Coo, as its authorized official.

NPPES Registry Identity

NPI1366120842
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJEFFERSON VALLEY PEDIATRIC DENTISTRY
Location Address3630 HILL BLVD STE 101Jefferson Valley, NY 10535-1503
Mailing Address2 Jay LnHopewell Junction, NY 12533-5918 · (845) 226-8577
Organization SubpartNo
Authorized OfficialAshley WitkiewiczCoo · (845) 226-8577
Enumeration DateJuly 6, 2023
NPPES CertifiedJuly 6, 2023
✔ NPI 1366120842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3630 HILL BLVD STE 101, Jefferson Valley, NY 10535

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 3

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

Dentist (Pediatric Dentistry)
3630 HILL BLVD STE 101
JEFFERSON VALLEY, NY 10535
Dentist (Pediatric Dentistry)
3630 HILL BLVD STE 101
JEFFERSON VALLEY, NY 10535
Clinic/Center (Dental)
3630 HILL BLVD STE 101
JEFFERSON VALLEY, NY 10535

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 Jefferson Valley Pediatric Dentistry's NPI number?

The NPI number for Jefferson Valley Pediatric Dentistry is 1366120842. It was assigned to this organization in the NPPES registry on July 6, 2023.

Where is Jefferson Valley Pediatric Dentistry located?

Jefferson Valley Pediatric Dentistry is located at 3630 Hill Blvd Ste 101, Jefferson Valley, NY 10535. The listed phone number is (914) 245-7100.

What is Jefferson Valley Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jefferson Valley Pediatric Dentistry was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.