# NY SMILE DESTINATION DENTAL CATE PC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NY Smile Destination
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215764766
- **Authorized official:** DR. FRANK HERAVI DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (516) 384-7215

## Contact information

- **Practice address:** 440 E 79TH ST APT 1F, NEW YORK, NY 10075-1407
- **Practice address phone:** (212) 697-6453
- **Practice address fax:** (646) 882-6888
- **Mailing address:** 440 E 79TH ST APT 1F, NEW YORK, NY 10075-1407
- **Mailing address phone:** (212) 697-6453
- **Mailing address fax:** (646) 882-6888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 09/18/2024