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PARK SOUTH DENTAL P.L.L.C. NPI 1689853459


NPI Information

NPI: 1689853459
Provider Name: PARK SOUTH DENTAL P.L.L.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 33D0136531

Address:
1530 UNIONPORT RD
BRONX, NY
ZIP 10462
Phone: (718) 892-2200
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PARK SOUTH DENTAL P.L.L.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. PARK SOUTH DENTAL P.L.L.C. NPI is 1689853459. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1530 UNIONPORT RD
BRONX, NY
ZIP 10462-801
Phone: (718) 892-2200
Fax: (718) 892-5630

The provider's authorized official is Jasmin Sterling .
The authorized official title is Dentist and has the following contact phone number (718) 892-2200.

The CLIA number assigned to this NPI record is 33D0136531 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/30/2007 and was last updated on 10/30/2007.


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 Practice049359NEW YORKNo
21223G0001XDentistGeneral Practice038052NEW JERSEYYes

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

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.