Organization · Type 2 NPI

Gentle Dentistry of Lancaster, PLLC

General Practice Dentistry · New York, NY

NPI number 1710488689 Active

Practice location

595 Madison Ave Fl 27
New York, NY 10022-1649

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

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.

5 other providers at this address

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NPI record

NPI: 1710488689
Entity type: Organization (Type 2)
Issued: Feb 26, 2018
Last updated: Feb 26, 2018
Status: Active
Subpart: Yes of Gentle Dentistry of Lancaster, PLLC

Other names

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Eastside Dental Medicine · doing business as

Authorized official

Cassandra Petersen
Credentialing Team Lead
(217) 540-8972

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710488689

Gentle Dentistry of Lancaster, PLLC's National Provider Identifier is 1710488689, issued on Feb 26, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New York, NY. The record was last updated on Feb 26, 2018.