Pediatric Dental Associates in New York - Pediatric Dentistry
Pediatric Dental Associates - NPI 1063624518
Pediatric Dental Associates is a Pediatric Dentistry in New York, New York. Pediatric Dental Associates practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dental Associates is 1063624518. The last update date is 2020-08-22.
Pediatric Dental Associates's current location address is 30 E 40th St, New York, New York. You can contact this provider via phone number 2129862039 and fax number 2125322726. The mailing address for Pediatric Dental Associates is 30 E 40th St, New York, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dental Associates |
|---|---|
| Address | 30 E 40th St, New York, New York |
| Phone Number | 2129862039 |
| Fax Number | 2125322726 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | King S. Michael |
| Credentials | D.D.S. |
| Telephone Number | 2129862039 |
NPI Number Detail
| NPI Number | 1063624518 |
|---|---|
| Provider Enumeration Date | 2007-05-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 30 E 40th St |
|---|---|
| City | New York |
| State | New York (NY) |
| Post Code | 100161201 |
| Phone Number | 2129862039 |
| Fax Number | 2125322726 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 33401 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Pediatric Dental Associates?
The Pediatric Dental Associates has been issued the NPI (National Provider Identifier) 1063624518 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Pediatric Dental Associates is physically located?
The Pediatric Dental Associates is physically situated at the following address: 30 E 40Th St, New York, NY, 100161201.
What is Pediatric Dental Associates's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pediatric Dental Associates is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063624518 to Pediatric Dental Associates?
The Pediatric Dental Associates received its 1063624518 assignment from the Centers for Medicare & Medicaid Services on 2007-05-05.
As of what date was the information pertaining to Pediatric Dental Associates, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pediatric Dental Associates, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.