BRACE DENTAL SERVICES PC NPI 1205002755

NPI Information

  • NPI: 1205002755
  • Provider Name: BRACE DENTAL SERVICES, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 874 PROSPECT AVE
    2ND FL
    BRONX, NY
    ZIP 10459
  • Phone: (718) 328-8511

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NPI Details

BRACE DENTAL SERVICES, PC 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. BRACE DENTAL SERVICES, PC NPI is 1205002755. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

874 PROSPECT AVE
2ND FL
BRONX, NY
ZIP 10459-926
Phone: (718) 328-8511
Fax: (718) 328-0327

The provider's authorized official is Maria Olmo .
The authorized official title is Manager and has the following contact phone number (718) 328-8511.

The enumeration date for this NPI number is 5/5/2008 and was last updated on 5/5/2008.

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
11223G0001XDentistGeneral Practice0521041NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102717444MEDICAIDNEW YORK

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: 11/21/2025

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