1196 Lexington Dental LLC
Dentist in New York, NY. Organization (NPI-2).
NPI number1790621506
StatusActive
Last updated in NPPESApr 24, 2026
Details
- NPI
- 1790621506
- Entity type
- Organization (NPI-2)
- Legal business name
- 1196 Lexington Dental LLC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2026
- Certification date
- Apr 24, 2026
- Last updated
- Apr 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
330 E 72nd St Apt 7New York, NY 10021-4728
Phone 212-879-1845
Mailing address
330 E 72nd St Apt 7New York, NY 10021-4728
Phone 212-879-1845
Authorized official
Jeffrey Rappaport
Owner/Dentist
4155302228
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