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Clarkstown Dental Practice PC

NPI 1265294052ActiveOrganization· Dentist· Congers, NY

Dentist in Congers, New York, registered in NPPES in January 2024. The authorized official on file is Reza Jabbary, DMD, President.

Overview

NPI1265294052
StatusActive
Entity typeOrganization
NPI issuedJan 26, 2024
Last updated in NPPESJan 26, 2024
Certified by providerJan 26, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist providers in Congers

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