Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Galleria Mall Dental PC

Organization Dentist · NPI 1932326618

Galleria Mall Dental PC provides Dentist services in Middletown, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 N Galleria Dr Ste 141
Middletown, NY 10941-3030
Phone: (845) 692-9212
Fax: (845) 692-9215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 042707 (NY)
Dentist Taxonomy 122300000X · Licence 049213 (NY)
Dentist Taxonomy 122300000X · Licence 052828 (NY)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 048760 (NY)

Record details

NPI number1932326618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ross Krasnov — Office Administrator · (845) 692-9212
NPI enumeratedApril 20, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1 N Galleria Dr Ste 141, Middletown, NY 10941-3030

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