Organization
MONTEFIORE MEDICAL CENTER
Active
Parent organization
MONTEFIORE MEDICAL CENTER
Other names
MMC Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTEFIORE MEDICAL CENTER
Authorized official
MR. MICHAEL DOWLING (DIRECTOR OF PROVIDER SERVICES AND N)
(914) 377-4668
Entity
Organization
Contact information
Practice address
111 E 210TH ST, MMC DENTAL, BRONX, NY 10467-2401
(718) 920-4167
Mailing address
111 E 210TH ST, MMC DENTAL, BRONX, NY 10467-2401
(718) 920-4167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
01/29/2008
Last updated
07/23/2009
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