- Practice location
- 1995 Broadway, New York, NY 10023-5882
- Phone
- 212-247-2330
- Fax
- —
- Last updated
- August 24, 2015
1995 Broadway Dental Arts PLLC is a healthcare organization based in New York, NY. 1995 Broadway Dental Arts PLLC practices in New York, NY. The NPI Number for 1995 Broadway Dental Arts PLLC is 1144697368 and holds a License No. 040754 (NY). The current practice location address for 1995 Broadway Dental Arts PLLC is 1995 Broadway, New York, NY 10023-5882 and can be reached out via phone at 212-247-2330.
Provider Profile Details
- NPI Number
- 1144697368
- Provider Name
- 1995 Broadway Dental Arts PLLC
- Provider Entity Type
- Organization
- Address
- 1995 Broadway, New York, NY 10023-5882
- Phone Number
- 212-247-2330
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Marc Liechtung, DDS · President · 732-610-8265
- Provider Enumeration Date
- August 24, 2015
- Last Update Date
- August 24, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1995 Broadway
New York, NY 10023-5882 - City
- New York
- State
- New York
- Zip
- 10023-5882
- Phone Number
- 212-247-2330
Provider Business Mailing Address Details
- Address
- 1995 Broadway
New York, NY 10023-5882 - City
- New York
- State
- NY
- Zip
- 10023-5882
- Phone Number
- 212-247-2330
License Information
- License Number
- 040754
- License State
- NY
- Taxonomy
- Dentist · 122300000X · 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 1995 Broadway Dental Arts PLLC?
The NPI number of 1995 Broadway Dental Arts PLLC is 1144697368. It was assigned on August 24, 2015 and is currently active in the NPPES registry.
What is the specialty of 1995 Broadway Dental Arts PLLC?
1995 Broadway Dental Arts PLLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 040754.
Where does 1995 Broadway Dental Arts PLLC practice?
The practice location is 1995 Broadway, New York, NY 10023-5882. The office can be reached at 212-247-2330 (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 1144697368 directly on the NPPES registry website.