Organization
NEW YORK DENTISTRY SERVICES PLLC
Active
Parent organization
NEW YORK DENTISTRY SERVICES PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW YORK DENTISTRY SERVICES PLLC
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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