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Scarsdale Family Dental Group PC

Dentist, Orthodontics and Dentofacial Orthopedics in Scarsdale, NY. Organization (NPI-2).

NPI number1427997337
StatusActive
Last updated in NPPESMar 26, 2026

Details

NPI
1427997337
Entity type
Organization (NPI-2)
Legal business name
Scarsdale Family Dental Group PC
Organization subpart
No
Enumeration date
Mar 26, 2026
Certification date
Mar 26, 2026
Last updated
Mar 26, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

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

Practice location

1088 Central Park Ave
Scarsdale, NY 10583-3234

Phone 914-713-3500

Mailing address

1088 Central Park Ave
Scarsdale, NY 10583-3234

Phone 914-713-3500

Authorized official

Jae Kim
Owner
3478825277

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Scarsdale, NY

All 12 Orthodontics and Dentofacial Orthopedics Dentistry providers in Scarsdale · All 1,339 providers in Scarsdale

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