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12TH STREET DENTAL PLLC NPI 1013499052


NPI Information

NPI: 1013499052
Provider Name: 12TH STREET DENTAL PLLC
Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

Address:
77 E 12TH ST
NEW YORK, NY
ZIP 10003
Phone: (917) 915-4504
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12TH STREET DENTAL PLLC is a dental public health dentist in New York, NY. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. 12TH STREET DENTAL PLLC NPI is 1013499052. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

77 E 12TH ST
NEW YORK, NY
ZIP 10003-002
Phone: (917) 915-4504

The provider's authorized official is David Janash .
The authorized official title is President And Ceo and has the following contact phone number (917) 915-4504.

The enumeration date for this NPI number is 9/6/2018 and was last updated on 9/6/2018.


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
11223D0001XDentistDental Public Health051610NEW YORKYes

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.