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Professional Orthodontic Dentistry Of Downstate New York, PLLC

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

NPI number1497436760
StatusActive
Last updated in NPPESAug 20, 2026

Details

NPI
1497436760
Entity type
Organization (NPI-2)
Legal business name
Professional Orthodontic Dentistry Of Downstate New York, PLLC
Organization subpart
No
Enumeration date
Jul 28, 2023
Certification date
Aug 20, 2026
Last updated
Aug 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics––Yes
1223G0001X Dentist, General Practice––

Other names

  • Eastside Orthodontics (Doing Business As)

Practice location

192 E 75th St
New York, NY 10021-3242

Phone 212-879-3956

Mailing address

125 Enterprise Dr Ste 200
Pittsburgh, PA 15275-1223

Phone 724-698-2500 · Fax 844-399-0385

Authorized official

Erica Quinteros
Credentialing Manager
7249011964

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