Organization
42ND STREET DENTAL, ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS KRASNOV DDS (ADMINISTRATOR)
(212) 631-0222
Entity
Organization
Contact information
Practice address
330 W 42ND ST, NEW YORK, NY 10036-6902
(212) 631-0222
(212) 631-0114
Mailing address
330 W 42ND ST, NEW YORK, NY 10036-6902
(212) 631-0222
(212) 631-0114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
046043
NY
1223G0001X
General Practice Dentistry
046686
NY
1223G0001X
General Practice Dentistry
050148
NY
1223G0001X
General Practice Dentistry
Primary
052674
NY
1223P0300X
Periodontics
042707
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
050706
NY
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
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