Organization · Type 2 NPI

4th Avenue Dental PC

General Practice Dentistry · Mount Vernon, NY

NPI number 1356580914 Active

Practice location

157 S 4th Ave
Mount Vernon, NY 10550-3106

Fax (718) 275-3049

Mailing address

11033 64th Ave
Forest Hills, NY 11375-1428

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X036630 (NY)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1356580914

4th Avenue Dental PC's National Provider Identifier is 1356580914, issued on Feb 5, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mount Vernon, NY. The record was last updated on Feb 5, 2009.