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ILLUSTRADENT MIDTOWN DENTAL SERVICES PLLC NPI 1902052673


NPI Information

NPI: 1902052673
Provider Name: ILLUSTRADENT MIDTOWN DENTAL SERVICES, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
358 5TH AVE
SUITE 407
NEW YORK, NY
ZIP 10001
Phone: (212) 244-4700
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ILLUSTRADENT MIDTOWN DENTAL SERVICES, PLLC 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. ILLUSTRADENT MIDTOWN DENTAL SERVICES, PLLC NPI is 1902052673. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

358 5TH AVE
SUITE 407
NEW YORK, NY
ZIP 10001-209
Phone: (212) 244-4700

The provider's authorized official is Alexander Joseph Pilavsky .
The authorized official title is Owner and has the following contact phone number (212) 244-4700.

The enumeration date for this NPI number is 8/13/2008 and was last updated on 8/13/2008.


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
11223G0001XDentistGeneral Practice50-052167NEW YORKYes

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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