EBENEZER DENTAL PLLC NPI 1164759296

NPI Information

  • NPI: 1164759296
  • Provider Name: EBENEZER DENTAL, PLLC
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Organization
  • Address: 474 7TH AVE
    FLOOR #4
    NEW YORK, NY
    ZIP 10018
  • Phone: (212) 687-4400

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0700XDentistProsthodontics049153NEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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