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FORDHAM DENTAL CARE P.C. NPI 1205177292


NPI Information

NPI: 1205177292
Provider Name: FORDHAM DENTAL CARE, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
573 E FORDHAM RD
STORE FRONT
BRONX, NY
ZIP 10458
Phone: (917) 962-9990
Get Directions

FORDHAM DENTAL CARE, P.C. is a general practice dentist in Bronx, 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. FORDHAM DENTAL CARE, P.C. NPI is 1205177292. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

573 E FORDHAM RD
STORE FRONT
BRONX, NY
ZIP 10458-018
Phone: (917) 962-9990
Fax: (917) 962-9992

The provider's authorized official is Hyeong Chan Kim .
The authorized official title is President and has the following contact phone number (917) 962-9990.

The enumeration date for this NPI number is 3/15/2013 and was last updated on 3/15/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice055881-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103463949MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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