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KNICKERBOCKER DENTAL GROUP NPI 1609948082


NPI Information

NPI: 1609948082
Provider Name: KNICKERBOCKER DENTAL GROUP
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
121 EAST 60TH ST
#10B
NEW YORK, NY
ZIP 10022
Phone: (212) 752-7188
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KNICKERBOCKER DENTAL GROUP is a dentist in New York, NY. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. KNICKERBOCKER DENTAL GROUP NPI is 1609948082. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

121 EAST 60TH ST
#10B
NEW YORK, NY
ZIP 10022
Phone: (212) 752-7188
Fax: (212) 583-0366

The provider's authorized official is Robert L Castellano .
The authorized official title is President and has the following contact phone number (212) 752-7188.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.


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
1122300000XDentistYes
21223P0700XDentistProsthodonticsX

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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