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MIRIAM DENTAL CENTER NPI 1598078693


NPI Information

NPI: 1598078693
Provider Name: MIRIAM DENTAL CENTER
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
220 MIRIAM ST
1A
BRONX, NY
ZIP 10458
Phone: (718) 367-6898
Get Directions

MIRIAM DENTAL CENTER 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. MIRIAM DENTAL CENTER NPI is 1598078693. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

220 MIRIAM ST
1A
BRONX, NY
ZIP 10458-206
Phone: (718) 367-6898
Fax: (718) 450-8630

The provider's authorized official is Bernardo R Gil .
The authorized official title is General Dentist and has the following contact phone number 17183676898.

The enumeration date for this NPI number is 7/17/2010 and was last updated on 7/17/2010.


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 Practice045134NEW 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
1=========MEDICAIDNEW 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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