VITAL DENTAL NPI 1326521139

NPI Information

  • NPI: 1326521139
  • Provider Name: VITAL DENTAL
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 30 E 40TH ST RM 201
    NEW YORK, NY
    ZIP 10016
  • Phone: (781) 535-1068

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NPI Details

VITAL DENTAL 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. VITAL DENTAL NPI is 1326521139. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 E 40TH ST RM 201
NEW YORK, NY
ZIP 10016-221
Phone: (781) 535-1068

The provider's authorized official is Zahra Bagheri .
The authorized official title is Ceo and has the following contact phone number (781) 535-1068.

The enumeration date for this NPI number is 9/9/2018 and was last updated on 9/9/2018.

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
1122300000XDentistNo
21223D0001XDentistDental Public HealthNo
31223D0004XDentistDentist AnesthesiologistNo
41223S0112XDentistOral and Maxillofacial SurgeryNo
51223X0008XDentistOral and Maxillofacial RadiologyNo
61223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
7122400000XDenturistNo
8124Q00000XDental HygienistNo
9125J00000XDental TherapistNo
10125K00000XAdvanced Practice Dental TherapistNo
11126800000XDental AssistantNo
12126900000XDental Laboratory TechnicianNo
131223G0001XDentistGeneral PracticeYes

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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