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Contact Information

42ND STREET DENTAL ASSOCIATES, LLP
120 E 42ND ST
FIFTH FLOOR
NEW YORK, NY10017-5678
 Phone: 212-867-8862
 Fax: 212-867-8402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Periodontics

1223P0300X
 

Dentist

122300000X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for 42ND STREET DENTAL ASSOCIATES, LLP

NPI Number 1750489563
LBN Legal business name 42ND STREET DENTAL ASSOCIATES, LLP
Authorized official MARK NADOLNE - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
NY License # 040690
NY License # 044327
NY License # 047883-1
NY License # 048686
NY License # 050453
NY License # 051796-1
NY License # 052345-1
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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