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GREAT SMILE DENTAL SERVICES LLC NPI 1083952378


NPI Information

NPI: 1083952378
Provider Name: GREAT SMILE DENTAL SERVICES, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
629 W 185TH ST FL 4
NEW YORK, NY
ZIP 10033
Phone: (212) 795-9519
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GREAT SMILE DENTAL SERVICES, LLC is a general practice dentist in New York, 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. GREAT SMILE DENTAL SERVICES, LLC NPI is 1083952378. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

629 W 185TH ST FL 4
NEW YORK, NY
ZIP 10033-102
Phone: (212) 795-9519

The provider's authorized official is Franklin L Martinez .
The authorized official title is Member and has the following contact phone number (646) 353-6412.

The enumeration date for this NPI number is 1/22/2013 and was last updated on 1/22/2013.


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 Practice010372CONNECTICUTYes

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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