IndividualActive
Erhard Beuttenmuller, DDS
NPI 1578554119 · Oral and Maxillofacial Pathology Dentistry · Fort Drum, NY
Provider details
- NPI number
- 1578554119
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- License
- 034583 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10205 North Riva Ridge Loop
US Army Dental Activity Attn Credentials
Fort Drum, NY 13602-5005
Phone: (315) 772-4342
Fax: (315) 772-9692
Street-level locationGet directions
Mailing address
10205 North Riva Ridge Loop
Fort Drum, NY 13602-5005
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.