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COUNTRYSIDE DENTAL
NPI 1952558074
Dentist - General Practice in Chatham, NY

Active since August 20, 2008
42 KINDERHOOK ST, CHATHAM, NY 12037(518) 392-5231(518) 392-7339 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Countryside Dental NPPES

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

COUNTRYSIDE DENTAL (NPI 1952558074) is a healthcare organization registered as a general practice in Chatham, New York and active in the NPI registry since August 2008. The organization lists Domenic Riccobono, Owner, as its authorized official.

NPPES Registry Identity

NPI1952558074
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOUNTRYSIDE DENTAL
Location Address42 KINDERHOOK STChatham, NY 12037-1207
Mailing Address42 Kinderhook StChatham, NY 12037-1207 · (518) 392-5231 · Fax (518) 392-7339
Phone(518) 392-5231
Fax(518) 392-7339
Organization SubpartNo
Authorized OfficialDomenic RiccobonoOwner · (518) 392-5231
Enumeration DateAugust 20, 2008
✔ NPI 1952558074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NY · 045941✔ Licensed in NY · 039271
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.
42 KINDERHOOK ST, Chatham, NY 12037
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. DOMENIC RICCOBONO DDS
Dentist (General Practice)
42 KINDERHOOK ST
CHATHAM, NY 12037
Columbia County (518) 392-5231

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 Countryside Dental's NPI number?

The NPI number for Countryside Dental is 1952558074. It was assigned to this organization in the NPPES registry on August 20, 2008.

Where is Countryside Dental located?

Countryside Dental is located at 42 Kinderhook St, Chatham, NY 12037. The listed phone number is (518) 392-5231.

What is Countryside Dental'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 Countryside Dental was last updated on August 20, 2008. 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.