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City Dental Service Provider, PLLC

Dentist, Pediatric Dentistry in Scarsdale, NY. Organization (NPI-2).

NPI number1003757204
StatusActive
Last updated in NPPESApr 2, 2026

Details

NPI
1003757204
Entity type
Organization (NPI-2)
Legal business name
City Dental Service Provider, PLLC
Organization subpart
Yes
Enumeration date
Apr 2, 2026
Certification date
Apr 2, 2026
Last updated
Apr 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry––Yes
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics––

Practice location

777 White Plains Rd
Scarsdale, NY 10583-5000

Phone 914-472-9090

Mailing address

1610 54th Ave N Ste 205
Nashville, TN 37209-1442

Phone 615-678-0759

Authorized official

Charlotte V Dasch
Sr. Director Of Credentialing &Pr
5046380303

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Other Pediatric Dentistry providers in Scarsdale, NY

All 16 Pediatric Dentistry providers in Scarsdale · All 1,339 providers in Scarsdale

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