Organization
BURNSIDE DENTAL AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN JIMENEZ (BUSINESS OWNER)
(718) 299-2972
Entity
Organization
Contact information
Practice address
1942 HARRISON AVE, BRONX, NY 10453-4502
(718) 299-2972
(718) 731-0565
Mailing address
1942 HARRISON AVE, BRONX, NY 10453-4502
(718) 299-2972
(718) 731-0565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
033591-1
NY
1223G0001X
General Practice Dentistry
Primary
046812-1
NY
1223G0001X
General Practice Dentistry
053179-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
054040-1
NY
Other
Enumeration date
11/15/2008
Last updated
11/15/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us