Ovrutsky, Dmitry

Ovrutsky, Dmitry is an individual health care provider with primary practice located at 5 N William St , Pearl River NY 10965-2316. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ovrutsky, Dmitry can be contacted via phone (845) 735-7770.

Contact Information

Primary practice address
5 N William St Pearl River NY 10965-2316
Phone: (845) 735-7770
Fax: (845) 735-3986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 050128 New York

Profile Details

NPI number 1982677647
LBN Legal business name Ovrutsky, Dmitry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jun 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982677647 NPPES
New York MEDICAID 02373586

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