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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: July 19, 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

Reviews for COUNTRYSIDE DENTAL

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

What is COUNTRYSIDE DENTAL's NPI number?

The NPI number assigned to this healthcare provider is 1952558074, enumerated as an "organization" on August 20, 2008.

Where is the provider located?

The provider is located at 42 KINDERHOOK ST CHATHAM, NY 12037 and the phone number is (518) 392-5231.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.