Provider Demographics
NPI:1770871212
Name:PITON, ENRIQUE (DDS)
Entity type:Individual
Prefix:DR
First Name:ENRIQUE
Middle Name:
Last Name:PITON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FOX RUN RD
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-6429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 SADORE LANE.
Practice Address - Street 2:ATP. 6M
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-4760
Practice Address - Country:US
Practice Address - Phone:914-787-8978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056430122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist