- Practice location
- 437 W 125TH St, New York, NY 10027-4201
- Phone
- 646-827-9819
- Fax
- 646-827-0510
- Last updated
- August 22, 2020
125TH Street Dental LLP is a healthcare organization based in New York, NY. 125TH Street Dental LLP practices in New York, NY. The NPI Number for 125TH Street Dental LLP is 1861523771 and holds a License No. 049097 (NY). The current practice location address for 125TH Street Dental LLP is 437 W 125TH St, New York, NY 10027-4201 and can be reached out via phone at 646-827-9819 and via fax at 646-827-0510.
Provider Profile Details
- NPI Number
- 1861523771
- Provider Name
- 125TH Street Dental LLP
- Provider Entity Type
- Organization
- Address
- 437 W 125TH St, New York, NY 10027-4201
- Phone Number
- 646-827-9819
- Fax Number
- 646-827-0510
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Serguei Kopetskov, DDS · President · 646-827-9819
- Provider Enumeration Date
- March 9, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 437 W 125TH St
New York, NY 10027-4201 - City
- New York
- State
- New York
- Zip
- 10027-4201
- Phone Number
- 646-827-9819
- Fax Number
- 646-827-0510
Provider Business Mailing Address Details
- Address
- 437 W 125TH St
New York, NY 10027-4201 - City
- New York
- State
- NY
- Zip
- 10027-4201
- Phone Number
- 646-827-9819
- Fax Number
- 646-827-0510
License Information
- License Number
- 049097
- 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 New York, NY
View all Dentist, General Practice providers in New York →- 10 West 46TH Street Dental PLLCDentist, General Practice · NPI 1770383192
- 116 Street Dental Care PLLCDentist, General Practice · NPI 1659788008
- 123 Dental Group PCDentist, General Practice · NPI 1851710511
- 125TH Street Dental Arts P.c.Dentist, General Practice · NPI 1063650125
- 209 Nyc Dental LLPDentist, General Practice · NPI 1023453339
- 2090 Dental PCDentist, General Practice · NPI 1891185245
Frequently Asked Questions
What is the NPI number of 125TH Street Dental LLP?
The NPI number of 125TH Street Dental LLP is 1861523771. It was assigned on March 9, 2007 and is currently active in the NPPES registry.
What is the specialty of 125TH Street Dental LLP?
125TH Street Dental LLP is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 049097.
Where does 125TH Street Dental LLP practice?
The practice location is 437 W 125TH St, New York, NY 10027-4201. The office can be reached at 646-827-9819 (phone) or 646-827-0510 (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 1861523771 directly on the NPPES registry website.