OrganizationActive
Countryside Dental
NPI 1952558074 · General Practice Dentistry · Chatham, NY
Countryside Dental is a General Practice Dentistry organization in Chatham, NY (NPI 1952558074).
Provider details
- NPI number
- 1952558074
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Domenic Riccobono, Owner(518) 392-5231
- License
- 039271 (NY)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
42 Kinderhook St
Chatham, NY 12037-1207
Phone: (518) 392-5231
Fax: (518) 392-7339
Street-level locationGet directions
Mailing address
42 Kinderhook St
Chatham, NY 12037-1207
Registry dates
- Enumerated
- 2008-08-20
- Last updated
- 2008-08-20
Frequently asked questions
- What is Countryside Dental's NPI number?
- Countryside Dental's National Provider Identifier (NPI) is 1952558074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Dental?
- Countryside Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Countryside Dental located?
- Countryside Dental's practice location on file with NPPES is 42 Kinderhook St, Chatham, NY 12037-1207.
- What is Countryside Dental's phone number?
- The practice phone number listed in the NPPES registry for Countryside Dental is (518) 392-5231.
- Who is the authorized official for Countryside Dental?
- The authorized official listed on Countryside Dental's NPPES record is Domenic Riccobono, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Dental's NPI active?
- Yes — Countryside Dental's NPI (1952558074) is active in the NPPES registry as of the last update on 2008-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.