Dental Anesthesia Of New York, Llc
Dental Anesthesiology Clinic
410 W 53rd St Apt 126, New York
New York, 10019-5693
215-527-8768 Maps & DirectionsDental Anesthesia Of New York, Llc is a Dental Anesthesiology Clinic in New York, New York. It is located at 410 W 53rd St Apt 126, New York, NY and its contact number is 215-527-8768. The authorized person for Dental Anesthesia Of New York, Llc is Dr. Phong Ta
who is Dentist Anesthesiologist/owner of the clinic and their contact number is 215-527-8768. The primary license number for Dental Anesthesia Of New York, Llc is 054360 (Dentist Anesthesiologist) in New York.
Dental Anesthesia Of New York, Llc Clinic dentists have successfully completed an accredited postdoctoral anesthesiology residency training program of two or more years duration, in accord with Commission on Dental AccreditationÃs Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Complete Clinic Profile:
Dental Anesthesia Of New York, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Dental Anesthesia Of New York, Llc |
| Specialization: | Dental Anesthesiology |
| Clinic Address: | 410 W 53rd St Apt 126, New York, New York, 10019-5693 |
| Phone: | 215-527-8768 |
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. Phong Ta |
| Position: | Dentist Anesthesiologist/owner |
| Contact Number: | 215-527-8768 |
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 Dental Anesthesia Of New York, Llc clinic are as mentioned below.
| NPI Number: | 1437509841 |
| NPI Enumeration Date: | 16 Jun, 2016 |
| NPI Last Update On: | 16 Jun, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dental Anesthesia Of New York, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist Anesthesiologist | 054360 | 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 |
| 03203894 | 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: | Dental Anesthesia Of New York, Llc 410 W 53rd St Apt 126, New York, New York |
| Zip: | 10019-5693 |
| Phone Number: | 215-527-8768 |
Patients can reach Dental Anesthesia Of New York, Llc at
410 W 53rd St Apt 126, New York, New York or can
call to book an appointment on 215-527-8768.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.