3545 JOHNSON BLVD DENTAL PC
NPI 1124759527
Clinic/Center - Dental in Bronx, NY

Active since June 17, 2022
1624 UNIVERSITY AVE BSMT, BRONX, NY 10453(718) 294-3725 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 3545 Johnson Blvd Dental Pc NPPES

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

3545 JOHNSON BLVD DENTAL PC (NPI 1124759527) is a healthcare organization registered as a dental in Bronx, New York and active in the NPI registry since June 2022. The organization lists Alejandro Leonel Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1124759527
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business Name3545 JOHNSON BLVD DENTAL PC
Location Address1624 UNIVERSITY AVE BSMTBronx, NY 10453-6948
Mailing Address1624 University Ave BsmtBronx, NY 10453-6948 · (718) 294-3725
Organization SubpartNo
Authorized OfficialAlejandro Leonel WilliamsOwner · (718) 294-3725
Enumeration DateJune 17, 2022
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
NPI 1124759527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1624 UNIVERSITY AVE BSMT, Bronx, NY 10453

Other Identifiers 1

Medicaid06804993NY

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 3545 Johnson Blvd Dental PC's NPI number?

The NPI number for 3545 Johnson Blvd Dental PC is 1124759527. It was assigned to this organization in the NPPES registry on June 17, 2022.

Where is 3545 Johnson Blvd Dental PC located?

3545 Johnson Blvd Dental PC is located at 1624 University Ave Bsmt, Bronx, NY 10453. The listed phone number is (718) 294-3725.

What is 3545 Johnson Blvd Dental PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for 3545 Johnson Blvd Dental PC was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.