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Dr. Edly Destine, DDS
General Practice Dentistry in Mount Vernon, New York
NPI 1326387341

Edly Destine is a General Practice Dentistry based in Mount Vernon, NY and is specialized in General Practice. 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 (New York).

The current practice location address for Edly Destine is 88 W Lincoln Ave Ste 102, Mount Vernon, NY and can be reached out via phone at 146-996-9889.

Location: 88 W Lincoln Ave Ste 102, Mount Vernon, NY, 10550-1181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Fax Number
Provider Enumeration Date
02/11/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04140667 05 NY
institution
Provider Business Practice Location Address Details
Address
88 W Lincoln Ave Ste 102
City
Mount Vernon
State
New York
Zip
10550-1181
Phone Number
146-996-9889
Fax Number
person
Provider Business Mailing Address Details
Address
88 W Lincoln Ave Ste 102
City
Mount Vernon
State
New York
Zip
10550-1181
Phone Number
146-996-9889
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
057473 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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