1. Home
  2. Directory
  3. New York
  4. Pine Bush
  5. Dentist
  6. NPI Profile

PINE BUSH DENTAL GROUP
NPI 1588104376
Dentist - General Practice in Pine Bush, NY

Active since February 28, 2017
2412 ROUTE 52, PINE BUSH, NY 12566(845) 744-5422 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pine Bush Dental Group NPPES

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

PINE BUSH DENTAL GROUP (NPI 1588104376) is a healthcare organization registered as a general practice in Pine Bush, New York and active in the NPI registry since February 2017. The organization lists Marc Faber, Owner/dds, as its authorized official.

NPPES Registry Identity

NPI1588104376
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePINE BUSH DENTAL GROUP
Location Address2412 ROUTE 52Pine Bush, NY 12566-7037
Mailing Address809 State Route 208Monroe, NY 10950-1829 · (845) 782-5040
Phone(845) 744-5422
Organization SubpartNo
Authorized OfficialMarc FaberOwner/dds · (845) 744-5422
Enumeration DateFebruary 28, 2017
✔ NPI 1588104376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 055718
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2412 ROUTE 52, Pine Bush, NY 12566
Open in Google Maps ↗

Other Identifiers 1

Medicaid3399442NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Pine Bush Dental Group's NPI number?

The NPI number for Pine Bush Dental Group is 1588104376. It was assigned to this organization in the NPPES registry on February 28, 2017.

Where is Pine Bush Dental Group located?

Pine Bush Dental Group is located at 2412 Route 52, Pine Bush, NY 12566. The listed phone number is (845) 744-5422.

What is Pine Bush Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Pine Bush Dental Group was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.