EBENEZER DENTAL, PLLC
NPI 1164759296
Dentist - Prosthodontics in New York, NY

Active since November 10, 2009
474 7TH AVE, FLOOR #4, NEW YORK, NY 10018(212) 687-4400 Get Directions Write a Review

NPPES record last updated: May 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ebenezer Dental, Pllc NPPES

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

EBENEZER DENTAL, PLLC (NPI 1164759296) is a healthcare organization registered as a prosthodontics in New York, New York and active in the NPI registry since November 2009. The organization lists Karen K Kang, Dr., as its authorized official.

NPPES Registry Identity

NPI1164759296
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameEBENEZER DENTAL, PLLC
Location Address474 7TH AVE, FLOOR #4New York, NY 10018-7673
Mailing Address474 7th Ave, Floor #4New York, NY 10018-7673 · (212) 687-4400
Organization SubpartNo
Authorized OfficialKaren K KangDr. · (212) 687-4400
Enumeration DateNovember 10, 2009
Last NPPES UpdateMay 6, 2011
NPI 1164759296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in NY · 049153
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
474 7TH AVE, New York, NY 10018

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist (Prosthodontics)
474 7TH AVE, FL #4
NEW YORK, NY 10018

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 Ebenezer Dental, PLLC's NPI number?

The NPI number for Ebenezer Dental, PLLC is 1164759296. It was assigned to this organization in the NPPES registry on November 10, 2009.

Where is Ebenezer Dental, PLLC located?

Ebenezer Dental, PLLC is located at 474 7th Ave Floor #4, New York, NY 10018. The listed phone number is (212) 687-4400.

What is Ebenezer Dental, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Ebenezer Dental, PLLC was last updated on May 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.