4th Avenue Dental Pc is a Dental Clinic in Mount Vernon, New York. It is located at 157 S 4th Ave, Mount Vernon, NY and its contact number is 914-664-5342. The authorized person for 4th Avenue Dental Pc is Dr. Haresh I Shah
who is President of the clinic and their contact number is 914-664-5342. The primary license number for 4th Avenue Dental Pc is 036630 (General Practice) in New York.
4th Avenue Dental Pc 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:
4th Avenue Dental Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | 4th Avenue Dental Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 157 S 4th Ave, Mount Vernon,
New York, 10550-3106 |
| Phone: | 914-664-5342 |
| Fax: | 718-275-3049 |
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. Haresh I Shah |
| Position: | President |
| Contact Number: | 914-664-5342 |
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 4th Avenue Dental Pc clinic are as mentioned below.
| NPI Number: | 1356580914 |
| NPI Enumeration Date: | 05 Feb, 2009 |
| NPI Last Update On: | 05 Feb, 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 4th Avenue Dental Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 036630 | 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 |
| 00729819 | 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: | 4th Avenue Dental Pc
11033 64th Ave,
Forest Hills, New York |
| Zip: | 11375-1428 |
| Phone Number: | 917-886-4568 |
| Fax Number: | 718-275-3049 |
Patients can reach 4th Avenue Dental Pc at
157 S 4th Ave, Mount Vernon, New York or can
call to book an appointment on 914-664-5342.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.