Dr. Edly Destine, DDS
Dentist, General Practice in Mount Vernon, New York
1326387341- Practice location
- 88 W Lincoln Ave Ste 102, Mount Vernon, NY 10550-1181
- Phone
- 146-996-9889
- Fax
- —
- Last updated
- November 9, 2018
Edly Destine is a Dentist, General Practice based in Mount Vernon, NY. Edly Destine practices in Mount Vernon, NY and has the professional credentials of DDS. The NPI Number for Edly Destine is 1326387341 and holds a License No. 057473 (NY). The current practice location address for Edly Destine is 88 W Lincoln Ave Ste 102, Mount Vernon, NY 10550-1181 and can be reached out via phone at 146-996-9889.
Provider Profile Details
- NPI Number
- 1326387341
- Provider Name
- Edly Destine
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 88 W Lincoln Ave Ste 102, Mount Vernon, NY 10550-1181
- Phone Number
- 146-996-9889
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 11, 2013
- Last Update Date
- November 9, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 88 W Lincoln Ave Ste 102
Mount Vernon, NY 10550-1181 - City
- Mount Vernon
- State
- New York
- Zip
- 10550-1181
- Phone Number
- 146-996-9889
Provider Business Mailing Address Details
- Address
- 88 W Lincoln Ave Ste 102
Mount Vernon, NY 10550-1181 - City
- Mount Vernon
- State
- NY
- Zip
- 10550-1181
- Phone Number
- 914-699-6988
License Information
- License Number
- 057473
- License State
- NY
- Taxonomy
- 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 Dr. Edly Destine, DDS?
The NPI number of Dr. Edly Destine, DDS is 1326387341. It was assigned on February 11, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Edly Destine, DDS?
Dr. Edly Destine, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 057473.
Where does Dr. Edly Destine, DDS practice?
The practice location is 88 W Lincoln Ave Ste 102, Mount Vernon, NY 10550-1181. The office can be reached at 146-996-9889 (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 1326387341 directly on the NPPES registry website.