- Practice location
- 57 W 57TH St Ste 710, New York, NY 10019-2802
- Phone
- 212-564-1888
- Fax
- 212-564-1161
- Last updated
- February 1, 2018
57 Central Dental Professional Corporation is a healthcare organization based in New York, NY. 57 Central Dental Professional Corporation practices in New York, NY. The NPI Number for 57 Central Dental Professional Corporation is 1134628415 and holds a License No. 051532 (NY). The current practice location address for 57 Central Dental Professional Corporation is 57 W 57TH St Ste 710, New York, NY 10019-2802 and can be reached out via phone at 212-564-1888 and via fax at 212-564-1161.
Provider Profile Details
- NPI Number
- 1134628415
- Provider Name
- 57 Central Dental Professional Corporation
- Provider Entity Type
- Organization
- Address
- 57 W 57TH St Ste 710, New York, NY 10019-2802
- Phone Number
- 212-564-1888
- Fax Number
- 212-564-1161
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Jung-Hun Kim, DDS · President · 917-442-9164
- Provider Enumeration Date
- February 1, 2018
- Last Update Date
- February 1, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 57 W 57TH St Ste 710
New York, NY 10019-2802 - City
- New York
- State
- New York
- Zip
- 10019-2802
- Phone Number
- 212-564-1888
- Fax Number
- 212-564-1161
Provider Business Mailing Address Details
- Address
- 100 Old Palisade RD Apt 2705
Fort Lee, NJ 07024-7022 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-7022
- Phone Number
- 917-442-9164
License Information
- License Number (1)
- 051532
- License State (1)
- NY
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 051275
- License State (2)
- NY
- Taxonomy (2)
- 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 57 Central Dental Professional Corporation?
The NPI number of 57 Central Dental Professional Corporation is 1134628415. It was assigned on February 1, 2018 and is currently active in the NPPES registry.
What is the specialty of 57 Central Dental Professional Corporation?
57 Central Dental Professional Corporation is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 051532.
Where does 57 Central Dental Professional Corporation practice?
The practice location is 57 W 57TH St Ste 710, New York, NY 10019-2802. The office can be reached at 212-564-1888 (phone) or 212-564-1161 (fax).
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 1134628415 directly on the NPPES registry website.