Organization
NEW YORK DENTISTRY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE V DASCH (SR DIRECTOR OF CREDENTIALING)
(504) 638-0303
Entity
Organization
Contact information
Practice address
200 BOUNDARY AVE STE 202, MASSAPEQUA, NY 11758-1152
(516) 798-6786
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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