Organization
NEW YORK DENTAL SERVICE PROVIDERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CREDENTIALING & PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
777 WHITE PLAINS RD, SCARSDALE, NY 10583-5000
(914) 472-9090
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(504) 638-0303
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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