Professional Dental Service

Dentist · New York, NY

Call (212) 738-0005 Directions

At a glance

611 W 156Th St, New York, NY 10032-7508

NPPES record updated Mar 27, 2008. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

611 W 156Th St Suite 55
New York, NY 10032-7508
Professional details: NPI, taxonomy & registry record
NPI1760654974
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Registry details

Primary taxonomy
Dentist
Taxonomy code
122300000X
Enumeration date
Mar 27, 2008
Record updated
Mar 27, 2008
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Dentist

122300000X · Primary

License reported: 052157-1 NY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

611 W 156Th St
Suite 55
New York, NY 10032-7508
Phone
(212) 738-0005
Fax
(212) 368-4391
Mailing address
611 W 156TH ST
SUITE 55
NEW YORK, NY 100327508
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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