Peter William Redmond, DDS

General Practice Dentistry · Mattituck, NY

Individual Active NPI

NPI number 1063775880

Practice location

7555 Main Rd
Mattituck, NY 11952-1516
Phone
(631) 298-9168
Fax
(631) 298-5728

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NPI record

NPI
1063775880
Entity type
Individual (Type 1)
Enumeration date
June 18, 2012
Last updated
September 9, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 049170 NY

Mailing address

PO Box 749
Mattituck, NY 11952-0749
Phone
(631) 298-9168
Fax
(631) 298-5728

About Dr. Redmond

Peter William Redmond, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 7555 Main Rd, Mattituck, NY 11952-1516. The NPI number 1063775880 was assigned on June 18, 2012 and the record was last updated on September 9, 2016.

Dr. Redmond lists a license in the registry: #049170 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter William Redmond, DDS?

The NPI number is 1063775880.

What is the phone number of Dr. Redmond?

The phone number listed for the practice location is (631) 298-9168.

Where is Dr. Redmond located?

7555 Main Rd, Mattituck, NY 11952-1516.

What is the taxonomy code for Dr. Redmond?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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