Pine Street Dental Associates, P.c.

NPI #1891761318 in Kingston, New York

Provider Information

NPI Number: 1891761318
Entity Type: Organization
Organization Name: Pine Street Dental Associates, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 24, 2006
Last Updated: Sep 10, 2008

Practice Location

Address: 138 PINE ST
Address 2: SUITE 210
City: Kingston
State: New York
ZIP Code: 12401-4947
Phone: (845) 338-6900

Authorized Official

Name: DR. CHARLES MATTHEW FLIEGLER, D.D.S.
Title: DENTIST, OWNER
Phone: (845) 338-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist - Periodontics — Periodontics	1223P0300X
Dentist	122300000X

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