42nd Street Dental, Associates
Dentist, General Practice in New York, NY. Organization (NPI-2).
NPI number1992841449
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1992841449
- Entity type
- Organization (NPI-2)
- Legal business name
- 42nd Street Dental, Associates
- Organization subpart
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 052674 | NY | Yes |
| 1223G0001X | Dentist, General Practice | 046043 | NY | |
| 1223G0001X | Dentist, General Practice | 050148 | NY | |
| 1223G0001X | Dentist, General Practice | 046686 | NY | |
| 1223P0300X | Dentist, Periodontics | 042707 | NY | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 050706 | NY |
Practice location
330 W 42nd StNew York, NY 10036-6902
Phone 212-631-0222 · Fax 212-631-0114
Mailing address
330 W 42nd StNew York, NY 10036-6902
Phone 212-631-0222 · Fax 212-631-0114
Authorized official
Ross Krasnov
Administrator
2126310222
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