WESTSIDE DENTIST PC NPI 1629297254

NPI Information

NPI: 1629297254
Provider Name: WESTSIDE DENTIST, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
25 CENTRAL PARK W
SUITE 1C
NEW YORK, NY
ZIP 10023
Phone: (212) 247-5050
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WESTSIDE DENTIST, PC is a dental clinic center in New York, NY. WESTSIDE DENTIST, PC NPI is 1629297254. The provider is registered as an organization entity type.

The provider's business location address is:

25 CENTRAL PARK W
SUITE 1C
NEW YORK, NY
ZIP 10023-253
Phone: (212) 247-5050
Fax: (212) 581-3596

The provider's authorized official is Anna Barantsevich .
The authorized official title is Dentist and has the following contact phone number (212) 247-5050.

The enumeration date for this NPI number is 4/24/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	046914	NEW YORK	Yes

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
1	1144354549	OTHER	NEW YORK	DENTIST

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: 4/28/2024

NPI Synchronization or Removal

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