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CITY DENTAL SERVICE PROVIDER, PLLC
NPI 1003757204
Dentist - Pediatric Dentistry in Scarsdale, NY

Active since April 02, 2026
777 WHITE PLAINS RD, SCARSDALE, NY 10583(914) 472-9090 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About City Dental Service Provider, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITY DENTAL SERVICE PROVIDER, PLLC (NPI 1003757204) is a healthcare organization registered as a pediatric dentistry in Scarsdale, New York and active in the NPI registry since April 2026. The organization lists Charlotte V Dasch, Sr. Director Of Credentialing &pr, as its authorized official.

NPPES Registry Identity

NPI1003757204
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCITY DENTAL SERVICE PROVIDER, PLLC
Location Address777 WHITE PLAINS RDScarsdale, NY 10583-5000
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (615) 678-0759
Phone(914) 472-9090
Organization SubpartYes
Authorized OfficialCharlotte V DaschSr. Director Of Credentialing &pr · (504) 638-0303
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1003757204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
777 WHITE PLAINS RD, Scarsdale, NY 10583
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN LAMBERT DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
777 WHITE PLAINS RD
SCARSDALE, NY 10583
Westchester County (914) 472-9090
SAILEE JAGDHANE
Physical Therapist
777 WHITE PLAINS RD
SCARSDALE, NY 10583
Westchester County (914) 771-6200
PRIYANKA AMI PATEL
Dentist (Pediatric Dentistry)
777 WHITE PLAINS RD
SCARSDALE, NY 10583
Westchester County (914) 472-9090
NEW YORK DENTAL SERVICE PROVIDERS, PLLC
Dentist (Pediatric Dentistry)
777 WHITE PLAINS RD
SCARSDALE, NY 10583
Westchester County (914) 472-9090
DR. LISA BETH PATCHEN DDS
Dentist (Pediatric Dentistry)
777 WHITE PLAINS RD
SCARSDALE, NY 10583
Westchester County (914) 472-9090
CITY DENTAL SERVICE PROVIDER, PLLC
Dentist (Pediatric Dentistry)
777 WHITE PLAINS RD
SCARSDALE, NY 10583
Westchester County (914) 472-9090
MARCHELE OPTICAL INC.
Optometrist
777 WHITE PLAINS RD
SCARSDALE, NY 10583
Westchester County (914) 725-6437
COREY REINER
Physical Therapist
777 WHITE PLAINS RD
SCARSDALE, NY 10583
Westchester County (914) 771-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Dental Service Provider, PLLC's NPI number?

The NPI number for City Dental Service Provider, PLLC is 1003757204. It was assigned to this organization in the NPPES registry on April 2, 2026.

Where is City Dental Service Provider, PLLC located?

City Dental Service Provider, PLLC is located at 777 White Plains Rd, Scarsdale, NY 10583. The listed phone number is (914) 472-9090.

What is City Dental Service Provider, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for City Dental Service Provider, PLLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.