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Contact Information

42ND STREET DENTAL, ASSOCIATES
330 W 42ND ST
NEW YORK, NY10036-6902
 Phone: 212-631-0222
 Fax: 212-631-0114
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for 42ND STREET DENTAL, ASSOCIATES

NPI Number 1992841449
LBN Legal business name 42ND STREET DENTAL, ASSOCIATES
Authorized official ROSS KRASNOV - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
NY License # 042707
NY License # 046043
NY License # 046686
NY License # 050148
NY License # 050706
NY License # 052674
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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