- Practice location
- 63 W 125TH St, 2ND Floor, New York, NY 10027-4512
- Phone
- 646-505-8852
- Fax
- —
- Last updated
- July 19, 2013
125TH St. Dental Group, PLLC is a healthcare organization based in New York, NY. 125TH St. Dental Group, PLLC practices in New York, NY. The NPI Number for 125TH St. Dental Group, PLLC is 1134561137 and holds a License No. 051019 (NY). The current practice location address for 125TH St. Dental Group, PLLC is 63 W 125TH St, 2ND Floor, New York, NY 10027-4512 and can be reached out via phone at 646-505-8852.
Provider Profile Details
- NPI Number
- 1134561137
- Provider Name
- 125TH St. Dental Group, PLLC
- Provider Entity Type
- Organization
- Address
- 63 W 125TH St, 2ND Floor, New York, NY 10027-4512
- Phone Number
- 646-505-8852
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Organization Subpart
- No
- Authorized Official
- Dr. Daniel Kuncio, DDS · Member · 646-505-8852
- Other Names
- 125 St. Braces (Doing Business As)
- Provider Enumeration Date
- July 19, 2013
- Last Update Date
- July 19, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 63 W 125TH St
2ND Floor
New York, NY 10027-4512 - City
- New York
- State
- New York
- Zip
- 10027-4512
- Phone Number
- 646-505-8852
Provider Business Mailing Address Details
- Address
- 63 W 125TH St
2ND Floor
New York, NY 10027-4512 - City
- New York
- State
- NY
- Zip
- 10027-4512
- Phone Number
- 646-505-8852
License Information
- License Number
- 051019
- License State
- NY
- Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Orthodontics and Dentofacial Orthopedics providers near New York, NY
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Frequently Asked Questions
What is the NPI number of 125TH St. Dental Group, PLLC?
The NPI number of 125TH St. Dental Group, PLLC is 1134561137. It was assigned on July 19, 2013 and is currently active in the NPPES registry.
What is the specialty of 125TH St. Dental Group, PLLC?
125TH St. Dental Group, PLLC is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NY under license number 051019.
Where does 125TH St. Dental Group, PLLC practice?
The practice location is 63 W 125TH St, 2ND Floor, New York, NY 10027-4512. The office can be reached at 646-505-8852 (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 1134561137 directly on the NPPES registry website.