- Practice location
- 146 E 174TH St, Bronx, NY 10457-6904
- Phone
- 213-709-7154
- Fax
- —
- Last updated
- July 8, 2009
174 Street Dental LLC is a healthcare organization based in Bronx, NY. 174 Street Dental LLC practices in Bronx, NY. The NPI Number for 174 Street Dental LLC is 1134358427 and holds a License No. 053429 (NY). The current practice location address for 174 Street Dental LLC is 146 E 174TH St, Bronx, NY 10457-6904 and can be reached out via phone at 213-709-7154.
Provider Profile Details
- NPI Number
- 1134358427
- Provider Name
- 174 Street Dental LLC
- Provider Entity Type
- Organization
- Address
- 146 E 174TH St, Bronx, NY 10457-6904
- Phone Number
- 213-709-7154
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Justin Sycamore, DDS · Dentist · 213-709-7154
- Provider Enumeration Date
- July 8, 2009
- Last Update Date
- July 8, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 146 E 174TH St
Bronx, NY 10457-6904 - City
- Bronx
- State
- New York
- Zip
- 10457-6904
- Phone Number
- 213-709-7154
Provider Business Mailing Address Details
- Address
- 146 E 174TH St
Bronx, NY 10457-6904 - City
- Bronx
- State
- NY
- Zip
- 10457-6904
License Information
- License Number
- 053429
- License State
- NY
- Taxonomy
- Dentist, General Practice · 1223G0001X · 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 174 Street Dental LLC?
The NPI number of 174 Street Dental LLC is 1134358427. It was assigned on July 8, 2009 and is currently active in the NPPES registry.
What is the specialty of 174 Street Dental LLC?
174 Street Dental LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 053429.
Where does 174 Street Dental LLC practice?
The practice location is 146 E 174TH St, Bronx, NY 10457-6904. The office can be reached at 213-709-7154 (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 1134358427 directly on the NPPES registry website.