Prohealth Dental PLLC
Dentist, General Practice in Yorktown Heights, NY. Organization (NPI-2).
NPI number1336717628
StatusActive
Last updated in NPPESOct 31, 2024
Details
- NPI
- 1336717628
- Entity type
- Organization (NPI-2)
- Legal business name
- Prohealth Dental PLLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2021
- Certification date
- Oct 8, 2024
- Last updated
- Oct 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 122300000X | Dentist | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
331 Downing DrYorktown Heights, NY 10598-4413
Phone 516-654-4400
Mailing address
3333 New Hyde Park Rd Ste 310New Hyde Park, NY 11042-1205
Phone 516-654-4400
Authorized official
Natalya Korobeynyk
Director Of Operations
5166544400
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