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Organization
42ND STREET DENTAL ASSOCIATES, LLP
Active
Organization
42ND STREET DENTAL ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S NADOLNE D.M.D. (PARTNER)
(212) 867-8862
Entity
Organization
Contact information
Practice address
120 E 42ND ST, FIFTH FLOOR, NEW YORK, NY 10017-5678
(212) 867-8862
(212) 867-8402
Mailing address
120 E 42ND ST, FIFTH FLOOR, NEW YORK, NY 10017-5678
(212) 867-8862
(212) 867-8402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
047883-1
NY
122300000X
Dentist
050453
NY
122300000X
Dentist
051796-1
NY
122300000X
Dentist
052345-1
NY
1223E0200X
Endodontics
048686
NY
1223P0300X
Periodontics
Primary
044327
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
040690
NY
Other
Enumeration date
09/20/2006
Last updated
09/11/2025
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