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NPI Profile for 42ND STREET DENTAL ASSOCIATES LLP in NEW YORK, NY.
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Periodontics |
1223P0300X | |||
Dentist |
122300000X | |||
Endodontics |
1223E0200X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI # | 1750489563 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/20/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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42ND STREET DENTAL ASSOCIATES, LLP