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RSN DENTAL PC NPI 1285741140


NPI Information

NPI: 1285741140
Provider Name: RSN DENTAL PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3589 RICHMOND AVE
1ST FLOOR
STATEN ISLAND, NY
ZIP 10312
Phone: (718) 317-1737
Get Directions

RSN 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. RSN DENTAL PC NPI is 1285741140. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3589 RICHMOND AVE
1ST FLOOR
STATEN ISLAND, NY
ZIP 10312-410
Phone: (718) 317-1737
Fax: (718) 317-1739

The provider's authorized official is Vladislav Shikhmanter .
The authorized official title is Practitioner/president and has the following contact phone number (718) 317-1737.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 8/22/2020.


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 Practice048325NEW 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
101978954MEDICAIDNEW 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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