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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.