Active NPIOrganization

42ND Street Dental Associates, LLP

Dentist, Periodontics in New York, New York

NPI Number1750489563
Practice location
120 E 42ND St, Fifth Floor, New York, NY 10017-5678
Fax
212-867-8402
Last updated
September 11, 2025

42ND Street Dental Associates, LLP is a healthcare organization based in New York, NY. 42ND Street Dental Associates, LLP practices in New York, NY. The NPI Number for 42ND Street Dental Associates, LLP is 1750489563 and holds a License No. 050453 (NY). The current practice location address for 42ND Street Dental Associates, LLP is 120 E 42ND St, Fifth Floor, New York, NY 10017-5678 and can be reached out via phone at 212-867-8862 and via fax at 212-867-8402.

Provider Profile Details

NPI Number
1750489563
Provider Name
42ND Street Dental Associates, LLP
Provider Entity Type
Organization
Address
120 E 42ND St, Fifth Floor, New York, NY 10017-5678
Phone Number
212-867-8862
Fax Number
212-867-8402
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Dr. Mark S Nadolne, DMD · Partner · 212-867-8862
Provider Enumeration Date
September 20, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 E 42ND St
Fifth Floor
New York, NY 10017-5678
Zip
10017-5678
Phone Number
212-867-8862
Fax Number
212-867-8402
New York, NY 10017Get directions →

Provider Business Mailing Address Details

Address
120 E 42ND St
Fifth Floor
New York, NY 10017-5678
City
New York
State
NY
Zip
10017-5678
Phone Number
212-867-8862
Fax Number
212-867-8402

License Information

License Number (1)
050453
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X
License Number (2)
047883-1
License State (2)
NY
Taxonomy (2)
Dentist · 122300000X
License Number (3)
048686
License State (3)
NY
Taxonomy (3)
Dentist, Endodontics · 1223E0200X
License Number (4)
052345-1
License State (4)
NY
Taxonomy (4)
Dentist · 122300000X
License Number (5)
051796-1
License State (5)
NY
Taxonomy (5)
Dentist · 122300000X
License Number (6)
040690
License State (6)
NY
Taxonomy (6)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (7)
044327
License State (7)
NY
Taxonomy (7)
Dentist, Periodontics · 1223P0300X · 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 42ND Street Dental Associates, LLP?

The NPI number of 42ND Street Dental Associates, LLP is 1750489563. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of 42ND Street Dental Associates, LLP?

42ND Street Dental Associates, LLP is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NY under license number 050453.

Where does 42ND Street Dental Associates, LLP practice?

The practice location is 120 E 42ND St, Fifth Floor, New York, NY 10017-5678. The office can be reached at 212-867-8862 (phone) or 212-867-8402 (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 1750489563 directly on the NPPES registry website.

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