Active NPIOrganization

P.c. Dental Group PLLC

Dentist in Port Chester, New York

NPI Number1235475989
Practice location
1 Gateway Plz, Port Chester, NY 10573-4674
Fax
914-481-5729
Last updated
December 28, 2012

P.c. Dental Group PLLC is a healthcare organization based in Port Chester, NY. P.c. Dental Group PLLC practices in Port Chester, NY. The NPI Number for P.c. Dental Group PLLC is 1235475989 and holds a License No. 030324 (NY). The current practice location address for P.c. Dental Group PLLC is 1 Gateway Plz, Port Chester, NY 10573-4674 and can be reached out via phone at 914-481-5733 and via fax at 914-481-5729.

Provider Profile Details

NPI Number
1235475989
Provider Name
P.c. Dental Group PLLC
Provider Entity Type
Organization
Address
1 Gateway Plz, Port Chester, NY 10573-4674
Phone Number
914-481-5733
Fax Number
914-481-5729
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Stuart Graber, DDS · Managing Dentist · 914-481-5733
Provider Enumeration Date
December 28, 2012
Last Update Date
December 28, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Gateway Plz
Port Chester, NY 10573-4674
Zip
10573-4674
Phone Number
914-481-5733
Fax Number
914-481-5729
Port Chester, NY 10573Get directions →

Provider Business Mailing Address Details

Address
1 Gateway Plz
Port Chester, NY 10573-4674
City
Port Chester
State
NY
Zip
10573-4674
Phone Number
914-481-5733
Fax Number
914-481-5729

License Information

License Number (1)
030324
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X
License Number (2)
0561931
License State (2)
NY
Taxonomy (2)
Dentist · 122300000X
License Number (3)
0554981
License State (3)
NY
Taxonomy (3)
Dentist · 122300000X
License Number (4)
0513121
License State (4)
NY
Taxonomy (4)
Dentist · 122300000X
License Number (5)
0518851
License State (5)
NY
Taxonomy (5)
Dentist, Periodontics · 1223P0300X
License Number (6)
0451461
License State (6)
NY
Taxonomy (6)
Dentist, Prosthodontics · 1223P0700X
License Number (7)
339246134
License State (7)
NY
Taxonomy (7)
Dental Hygienist · 124Q00000X
License Number (8)
0564181
License State (8)
NY
Taxonomy (8)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 P.c. Dental Group PLLC?

The NPI number of P.c. Dental Group PLLC is 1235475989. It was assigned on December 28, 2012 and is currently active in the NPPES registry.

What is the specialty of P.c. Dental Group PLLC?

P.c. Dental Group PLLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 030324.

Where does P.c. Dental Group PLLC practice?

The practice location is 1 Gateway Plz, Port Chester, NY 10573-4674. The office can be reached at 914-481-5733 (phone) or 914-481-5729 (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 1235475989 directly on the NPPES registry website.

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