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Abdentistrypllc

NPI 1265815088ActiveOrganization· Dentist· Loudonville, NY

Dentist in Loudonville, New York, registered in NPPES in June 2015. The authorized official on file is Antonio Boncordo, DMD, Dentist.

Overview

NPI1265815088
StatusActive
Entity typeOrganization
NPI issuedJun 30, 2015
Last updated in NPPESJun 30, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X046050-1NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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 Loudonville

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