FORDHAM ROAD DENTAL PC NPI 1306050869

NPI Information

FORDHAM ROAD DENTAL PC 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 ROAD DENTAL PC NPI is 1306050869. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Executive Associates, Llc.

The provider's business location address is:

327 E FORDHAM RD
2ND FLOOR
BRONX, NY
ZIP 10458-002
Phone: (718) 933-8400
Fax: (718) 933-3731

The provider's authorized official is Diane Bertuzzi .
The authorized official title is Practice Manager and has the following contact phone number (845) 304-6110.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 5/26/2016.

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:

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