Organization · NPI-2

101 Dental PLLC

Clinic/Center, Dental · Brooklyn, NY

NPI number1457065815
StatusActive
Last updated in NPPESJan 10, 2023

Details

NPI
1457065815
Entity type
Organization (NPI-2)
Legal business name
101 Dental PLLC
Organization subpart
No
Enumeration date
Jan 10, 2023
Certification date
Jan 10, 2023
Last updated
Jan 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Other names

  • Brooklyn Dental Collective (Other Name)

Practice location

101 Bedford Ave
Brooklyn, NY 11211-3200

Phone 516-457-8353

Mailing address

101 Bedford Ave
Brooklyn, NY 11211-3200

Phone 516-457-8353

Authorized official

Stephanie Blair Sager
General Dentist
5164578353

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