Individual provider · Type 1 NPI
Kevin Modera
Dentist · New York, NY
Practice location
330 Hudson St
New York, NY 10013-1046
Mailing address
161 W 9th St Apt 3
Brooklyn, NY 11231-0856
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 065207 (NY) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1649963505
Kevin Modera's National Provider Identifier is 1649963505, issued on May 29, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in New York, NY. The record was last updated on May 19, 2026.