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EVELYN R. TEJEDA D.M.D P.C NPI 1225216229


NPI Information

NPI: 1225216229
Provider Name: EVELYN R. TEJEDA, D.M.D P.C
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
629 W 185TH ST
4TH FLOOR
NEW YORK, NY
ZIP 10033
Phone: (212) 568-0558
Get Directions

EVELYN R. TEJEDA, D.M.D P.C is a pediatric dentistry dentist in New York, NY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. EVELYN R. TEJEDA, D.M.D P.C NPI is 1225216229. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

629 W 185TH ST
4TH FLOOR
NEW YORK, NY
ZIP 10033-102
Phone: (212) 568-0558
Fax: (212) 543-2503

The provider's authorized official is Evelyn R Tejeda .
The authorized official title is Physician and has the following contact phone number (914) 420-7941.

The enumeration date for this NPI number is 2/1/2008 and was last updated on 2/1/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry046830NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102207541MEDICAIDNEW 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: 11/14/2023

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