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EBENEZER DENTAL PLLC NPI 1164759296


NPI Information

NPI: 1164759296
Provider Name: EBENEZER DENTAL, PLLC
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
474 7TH AVE
FLOOR #4
NEW YORK, NY
ZIP 10018
Phone: (212) 687-4400
Get Directions

EBENEZER DENTAL, PLLC is a prosthodontics dentist in New York, NY. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. EBENEZER DENTAL, PLLC NPI is 1164759296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

474 7TH AVE
FLOOR #4
NEW YORK, NY
ZIP 10018-673
Phone: (212) 687-4400

The provider's authorized official is Karen K Kang .
The authorized official title is Dr. and has the following contact phone number (212) 687-4400.

The enumeration date for this NPI number is 11/10/2009 and was last updated on 5/6/2011.


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
11223P0700XDentistProsthodontics049153NEW 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.