FORDHAM DENTAL CARE, P.C.
NPI 1205177292
Dentist - General Practice in Bronx, NY

Q: What is Fordham Dental Care, P.C.'s NPI number?

The NPI number for Fordham Dental Care, P.C. is 1205177292. It was assigned to this organization in the NPPES registry on March 15, 2013.

Q: What is Fordham Dental Care, P.C.'s specialty?

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

Active since March 15, 2013

573 E FORDHAM RD, STORE FRONT, BRONX, NY 10458(917) 962-9990(917) 962-9992 Get Directions Write a Review

NPPES record last updated: March 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fordham Dental Care, P.c. NPPES

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

FORDHAM DENTAL CARE, P.C. (NPI 1205177292) is a healthcare organization registered as a general practice in Bronx, New York and active in the NPI registry since March 2013. The organization lists Hyeong Chan Kim, President, as its authorized official.

NPPES Registry Identity

NPI1205177292

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameFORDHAM DENTAL CARE, P.C.

Location Address573 E FORDHAM RD, STORE FRONTBronx, NY 10458-5018

Mailing Address573 E Fordham Rd, Store FrontBronx, NY 10458-5018 · (917) 962-9990 · Fax (917) 962-9992

Phone(917) 962-9990

Fax(917) 962-9992

Organization SubpartNo

Authorized OfficialHyeong Chan KimPresident · (917) 962-9990

Enumeration DateMarch 15, 2013

✔ NPI 1205177292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 055881-1

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.

573 E FORDHAM RD, Bronx, NY 10458

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Other Identifiers 1

Medicaid03463949NY

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

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

573 FORDHAM DENTAL PC

Dentist (General Practice)

573 E FORDHAM RD
BRONX, NY 10458

Bronx County (917) 962-9990

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 Fordham Dental Care, P.C.'s NPI number?

The NPI number for Fordham Dental Care, P.C. is 1205177292. It was assigned to this organization in the NPPES registry on March 15, 2013.

Where is Fordham Dental Care, P.C. located?

Fordham Dental Care, P.C. is located at 573 E Fordham Rd Store Front, Bronx, NY 10458. The listed phone number is (917) 962-9990.

What is Fordham Dental Care, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Fordham Dental Care, P.C. was last updated on March 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.