- Practice location
- 77 E 12TH St, New York, NY 10003-5002
- Phone
- 917-915-4504
- Fax
- —
- Last updated
- May 30, 2024
12TH Street Dental PLLC is a healthcare organization based in New York, NY. 12TH Street Dental PLLC practices in New York, NY. The NPI Number for 12TH Street Dental PLLC is 1013499052 and holds a License No. 051610 (NY). The current practice location address for 12TH Street Dental PLLC is 77 E 12TH St, New York, NY 10003-5002 and can be reached out via phone at 917-915-4504.
Provider Profile Details
- NPI Number
- 1013499052
- Provider Name
- 12TH Street Dental PLLC
- Provider Entity Type
- Organization
- Address
- 77 E 12TH St, New York, NY 10003-5002
- Phone Number
- 917-915-4504
- Primary Taxonomy
- Dentist, Dental Public Health · 1223D0001X
- Organization Subpart
- No
- Authorized Official
- Dr. David Janash, DMD · President And Ceo · 917-915-4504
- Provider Enumeration Date
- September 6, 2018
- Last Update Date
- May 30, 2024
- Certification Date
- May 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 77 E 12TH St
New York, NY 10003-5002 - City
- New York
- State
- New York
- Zip
- 10003-5002
- Phone Number
- 917-915-4504
Provider Business Mailing Address Details
- Address
- 30 Central Park S Rm 13C
New York, NY 10019-1646 - City
- New York
- State
- NY
- Zip
- 10019-1646
- Phone Number
- 212-355-2000
License Information
- License Number
- 051610
- License State
- NY
- Taxonomy
- Dentist, Dental Public Health · 1223D0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 12TH Street Dental PLLC?
The NPI number of 12TH Street Dental PLLC is 1013499052. It was assigned on September 6, 2018 and is currently active in the NPPES registry.
What is the specialty of 12TH Street Dental PLLC?
12TH Street Dental PLLC is registered under the primary taxonomy Dentist, Dental Public Health (code 1223D0001X), licensed in NY under license number 051610.
Where does 12TH Street Dental PLLC practice?
The practice location is 77 E 12TH St, New York, NY 10003-5002. The office can be reached at 917-915-4504 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013499052 directly on the NPPES registry website.