Gregg Fader Dmd, Pc is a Dental Clinic in New York, New York. It is located at 504 Grand St, Suite M5, New York, NY and its contact number is 212-475-0051. The authorized person for Gregg Fader Dmd, Pc is Dr. Gregg Fader
who is Owner of the clinic and their contact number is 212-475-0051. The primary license number for Gregg Fader Dmd, Pc is 040972 (Dentist) in New York.
Gregg Fader Dmd, Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Gregg Fader Dmd, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Gregg Fader Dmd, Pc |
| Specialization: | Dentistry |
| Clinic Address: | 504 Grand St, Suite M5, New York,
New York, 10002-4182 |
| Phone: | 212-475-0051 |
| Fax: | 212-475-3279 |
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. Gregg Fader |
| Position: | Owner |
| Contact Number: | 212-475-0051 |
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 Gregg Fader Dmd, Pc clinic are as mentioned below.
| NPI Number: | 1831518786 |
| NPI Enumeration Date: | 08 Apr, 2014 |
| NPI Last Update On: | 08 Apr, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gregg Fader Dmd, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 040972 | 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 |
| 01259301 | 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: | Gregg Fader Dmd, Pc
504 Grand St, Suite M5
New York, New York |
| Zip: | 10002-4182 |
| Phone Number: | 212-475-0051 |
| Fax Number: | 212-475-3279 |
Patients can reach Gregg Fader Dmd, Pc at
504 Grand St, Suite M5, New York, New York or can
call to book an appointment on 212-475-0051.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.