Organization · NPI-2

42nd Street Dental Associates, LLP

Dentist, Periodontics · New York, NY

NPI number1750489563
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1750489563
Entity type
Organization (NPI-2)
Legal business name
42nd Street Dental Associates, LLP
Organization subpart
No
Enumeration date
Sep 20, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics044327NYYes
122300000X Dentist050453NY
122300000X Dentist047883-1NY
1223E0200X Dentist, Endodontics048686NY
122300000X Dentist052345-1NY
122300000X Dentist051796-1NY
1223S0112X Dentist, Oral and Maxillofacial Surgery040690NY

Practice location

120 E 42nd St
Fifth Floor
New York, NY 10017-5678

Phone 212-867-8862 · Fax 212-867-8402

Mailing address

120 E 42nd St
Fifth Floor
New York, NY 10017-5678

Phone 212-867-8862 · Fax 212-867-8402

Authorized official

Mark S Nadolne
Partner
2128678862

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