VILLAGE GREEN DENTAL PC NPI 1003100124

NPI Information

VILLAGE GREEN DENTAL PC is a general practice dentist in Staten Island, NY. The provider is 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. VILLAGE GREEN DENTAL PC NPI is 1003100124. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

337 HAMPTON GRN
STATEN ISLAND, NY
ZIP 10312-722
Phone: (718) 948-0870

The provider's authorized official is Valery Dubovikov .
The authorized official title is Dds and has the following contact phone number (718) 948-0870.

The enumeration date for this NPI number is 6/6/2011 and was last updated on 6/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.