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GALLERIA MALL DENTAL PC
NPI 1932326618
Dentist - Periodontics in Middletown, NY

Active since April 20, 2007
1 N GALLERIA DR STE 141, MIDDLETOWN, NY 10941(845) 692-9212(845) 692-9215 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Galleria Mall Dental Pc NPPES

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

GALLERIA MALL DENTAL PC (NPI 1932326618) is a healthcare organization registered as a periodontics in Middletown, New York and active in the NPI registry since April 2007. The organization lists Ross Krasnov, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1932326618
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameGALLERIA MALL DENTAL PC
Location Address1 N GALLERIA DR STE 141Middletown, NY 10941-3030
Mailing Address1 N Galleria Dr Ste 141Middletown, NY 10941-3030 · (845) 692-9212 · Fax (845) 692-9215
Phone(845) 692-9212
Fax(845) 692-9215
Organization SubpartNo
Authorized OfficialRoss KrasnovOffice Administrator · (845) 692-9212
Enumeration DateApril 20, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1932326618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NY · 042707
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 049213 (NY), 052828 (NY)
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 048760 (NY)

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

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 Galleria Mall Dental PC's NPI number?

The NPI number for Galleria Mall Dental PC is 1932326618. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Galleria Mall Dental PC located?

Galleria Mall Dental PC is located at 1 N Galleria Dr Ste 141, Middletown, NY 10941. The listed phone number is (845) 692-9212.

What is Galleria Mall Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Galleria Mall Dental PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.