Ident Dental At Yorktown
Dentist, Oral and Maxillofacial Surgery in Yorktown Heights, NY. Organization (NPI-2).
NPI number1528292885
StatusActive
Last updated in NPPESMay 14, 2009
Details
- NPI
- 1528292885
- Entity type
- Organization (NPI-2)
- Legal business name
- Ident Dental At Yorktown
- Organization subpart
- No
- Enumeration date
- May 14, 2009
- Last updated
- May 14, 2009
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 049967 | NY | Yes |
| 1223E0200X | Dentist, Endodontics | 048328 | NY | |
| 1223P0300X | Dentist, Periodontics | 051732 | NY |
Practice location
2649 Strang BlvdSuite 300
Yorktown Heights, NY 10598-2939
Phone 888-433-6820
Mailing address
2649 Strang BlvdSuite 300
Yorktown Heights, NY 10598-2939
Phone 888-433-6820
Authorized official
Adam Sposato
Administrator
9142454332
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