4TH Avenue Dental PC
Dentist, General Practice in Mount Vernon, New York
1356580914- Practice location
- 157 S 4TH Ave, Mount Vernon, NY 10550-3106
- Phone
- 914-664-5342
- Fax
- 718-275-3049
- Last updated
- February 5, 2009
4TH Avenue Dental PC is a healthcare organization based in Mount Vernon, NY. 4TH Avenue Dental PC practices in Mount Vernon, NY. The NPI Number for 4TH Avenue Dental PC is 1356580914 and holds a License No. 036630 (NY). The current practice location address for 4TH Avenue Dental PC is 157 S 4TH Ave, Mount Vernon, NY 10550-3106 and can be reached out via phone at 914-664-5342 and via fax at 718-275-3049.
Provider Profile Details
- NPI Number
- 1356580914
- Provider Name
- 4TH Avenue Dental PC
- Provider Entity Type
- Organization
- Address
- 157 S 4TH Ave, Mount Vernon, NY 10550-3106
- Phone Number
- 914-664-5342
- Fax Number
- 718-275-3049
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Haresh I Shah, DDS · President · 914-664-5342
- Provider Enumeration Date
- February 5, 2009
- Last Update Date
- February 5, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 157 S 4TH Ave
Mount Vernon, NY 10550-3106 - City
- Mount Vernon
- State
- New York
- Zip
- 10550-3106
- Phone Number
- 914-664-5342
- Fax Number
- 718-275-3049
Provider Business Mailing Address Details
- Address
- 11033 64TH Ave
Forest Hills, NY 11375-1428 - City
- Forest Hills
- State
- NY
- Zip
- 11375-1428
- Phone Number
- 917-886-4568
- Fax Number
- 718-275-3049
License Information
- License Number
- 036630
- 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. | |||
Other Dentist, General Practice providers near Mount Vernon, NY
View all Dentist, General Practice providers in Mount Vernon →- Broadway Smiles Dental PCDentist, General Practice · NPI 1346739430
- Dr. Anthony Debenedictis, DDSDentist, General Practice · NPI 1366555054
- Dr. Ariel Stein, DMDDentist, General Practice · NPI 1710159835
- Dr. Danielle A Ruocco, DDSDentist, General Practice · NPI 1114989928
- Dr. Edly Destine, DDSDentist, General Practice · NPI 1326387341
- Dr. Haresh I Shah, DDSDentist, General Practice · NPI 1437172996
Frequently Asked Questions
What is the NPI number of 4TH Avenue Dental PC?
The NPI number of 4TH Avenue Dental PC is 1356580914. It was assigned on February 5, 2009 and is currently active in the NPPES registry.
What is the specialty of 4TH Avenue Dental PC?
4TH Avenue Dental PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 036630.
Where does 4TH Avenue Dental PC practice?
The practice location is 157 S 4TH Ave, Mount Vernon, NY 10550-3106. The office can be reached at 914-664-5342 (phone) or 718-275-3049 (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 1356580914 directly on the NPPES registry website.