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SOUL DENTAL WEST PLLC
NPI 1083170021
Dentist - General Practice in New York, NY

Active since February 14, 2019
853 11TH AVE, NEW YORK, NY 10019(212) 201-0718(646) 597-6068 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soul Dental West Pllc NPPES

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

SOUL DENTAL WEST PLLC (NPI 1083170021) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since February 2019. The organization lists Alla Malanitcheva, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083170021
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUL DENTAL WEST PLLC
Location Address853 11TH AVENew York, NY 10019
Mailing Address853 11th AveNew York, NY 10019 · (212) 201-0718 · Fax (646) 597-6068
Phone(212) 201-0718
Fax(646) 597-6068
Organization SubpartNo
Authorized OfficialAlla MalanitchevaAdministrator · (718) 916-6748
Enumeration DateFebruary 14, 2019
✔ NPI 1083170021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
853 11TH AVE, New York, NY 10019
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Other Identifiers 1

Other055567NY · Dental License

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. ANNE WETMORE D.D.S.
Dentist (General Practice)
853 11TH AVE
NEW YORK, NY 10019
New York County (347) 305-2791
MICHELLE TARR DDS
Dentist
853 11TH AVE
NEW YORK, NY 10019
New York County (464) 376-0626

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 Soul Dental West PLLC's NPI number?

The NPI number for Soul Dental West PLLC is 1083170021. It was assigned to this organization in the NPPES registry on February 14, 2019.

Where is Soul Dental West PLLC located?

Soul Dental West PLLC is located at 853 11th Ave, New York, NY 10019. The listed phone number is (212) 201-0718.

What is Soul Dental West PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Soul Dental West PLLC accept?

Health plans from UnitedHealthcare list Soul Dental West PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soul Dental West PLLC was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.