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: | -- |
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.