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125th St. Dental Group, Pllc
Orthodontics and Dentofacial Orthopedic Dentist in New York, New York
NPI 1134561137

125th St. Dental Group, Pllc is a Orthodontics and Dentofacial Orthopedic Dentist based in New York, NY and is specialized in Orthodontics and Dentofacial Orthopedics. 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 (New York).

The current practice location address for 125th St. Dental Group, Pllc is 63 W 125Th St, New York, NY and can be reached out via phone at 646-505-8852.

Location: 63 W 125Th St, New York, NY, 10027-4512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134561137
Provider Name
125th St. Dental Group, Pllc
Credential
Provider Entity Type
Organization
Address
63 W 125Th St, New York, NY, 10027-4512
Phone Number
646-505-8852
Fax Number
Provider Enumeration Date
07/19/2013
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
03047216 05 NY
03422386 05 NY
01644504 05 NY
institution
Provider Business Practice Location Address Details
Address
63 W 125Th St
City
New York
State
New York
Zip
10027-4512
Phone Number
646-505-8852
Fax Number
person
Provider Business Mailing Address Details
Address
63 W 125Th St
City
New York
State
New York
Zip
10027-4512
Phone Number
646-505-8852
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
051019 (New York)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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