Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821115379 Individual Practitioner Male Practitioner

Dr. Peter Chidyllo , DDS

Dentist - General Practice • Wallkill, NY

Professional Overview & Biography Verified Profile Summary

Dr. Peter Chidyllo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Wallkill, NY. Practice services are available at 46 WALLKILL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

46 Wallkill Ave

Wallkill, NY 12589

Telephone 8458952200
Fax 8458952200

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wallkill, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Wallkill, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 33611

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00493912 (NY)
Commercial Insurance / Payer ID Cdphp
10035221 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 46 WALLKILL AVE, WALLKILL, NY 12589 (Tel: 8458952200)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 416, WALLKILL, NY 125890416 (Tel: 8458952200)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PETER CHIDYLLO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #33611 in NY)

🟢
Initial NPI Registration & Enumeration March 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821115379
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 416

Wallkill, NY 125890416

Phone: 8458952200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.