174 Street Dental Llc is a Dental Clinic in Bronx, New York. It is located at 146 E 174th St, Bronx, NY and its contact number is 213-709-7154. The authorized person for 174 Street Dental Llc is Dr. Justin Sycamore
who is Dentist of the clinic and their contact number is 213-709-7154. The primary license number for 174 Street Dental Llc is 053429 (General Practice) in New York. 174 Street Dental Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
174 Street Dental Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
174 Street Dental Llc
Specialization:
General Practice Dentistry
Clinic Address:
146 E 174th St, Bronx, New York, 10457-6904
Phone:
213-709-7154
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Justin Sycamore
Position:
Dentist
Contact Number:
213-709-7154
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for 174 Street Dental Llc clinic are as mentioned below.
NPI Number:
1134358427
NPI Enumeration Date:
08 Jul, 2009
NPI Last Update On:
08 Jul, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 174 Street Dental Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
053429
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02861549
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
174 Street Dental Llc 146 E 174th St, Bronx, New York
Zip:
10457-6904
Phone Number:
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Patients can reach 174 Street Dental Llc at 146 E 174th St, Bronx, New York or can call to book an appointment on 213-709-7154. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.