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FORDHAM ROAD DENTAL PC
NPI 1306050869
Dentist - General Practice in Bronx, NY

Active since May 10, 2007
327 E FORDHAM RD, 2ND FLOOR, BRONX, NY 10458(718) 933-8400(718) 933-3731 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fordham Road Dental Pc NPPES

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

FORDHAM ROAD DENTAL PC (NPI 1306050869), doing business as Executive Associates, Llc, is a healthcare organization registered as a general practice in Bronx, New York and active in the NPI registry since May 2007. The organization lists Diane Bertuzzi, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1306050869
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFORDHAM ROAD DENTAL PC
Location Address327 E FORDHAM RD, 2ND FLOORBronx, NY 10458-5002
Mailing Address327 E Fordham Rd, 2nd FloorBronx, NY 10458-5002 · (718) 933-8400 · Fax (718) 933-3731
Phone(718) 933-8400
Fax(718) 933-3731
Organization SubpartNo
Authorized OfficialDiane BertuzziPractice Manager · (845) 304-6110
Enumeration DateMay 10, 2007
Last NPPES UpdateMay 26, 2016
✔ NPI 1306050869 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.
327 E FORDHAM RD, Bronx, NY 10458
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Other Names 1

Former Legal Business NameExecutive Associates, Llc

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 MULTIPLE SINGLE 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

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

DR. FARHAN KAZMI D.M.D.
Dentist
327 E FORDHAM RD, 2ND FLOOR
BRONX, NY 10458
Bronx County (718) 933-8400

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 Road Dental PC's NPI number?

The NPI number for Fordham Road Dental PC is 1306050869. It was assigned to this organization in the NPPES registry on May 10, 2007. The provider was formerly known as Executive Associates, LLC.

Where is Fordham Road Dental PC located?

Fordham Road Dental PC is located at 327 E Fordham Rd 2nd Floor, Bronx, NY 10458. The listed phone number is (718) 933-8400.

What is Fordham Road Dental PC's specialty?

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

What insurance does Fordham Road Dental PC accept?

Health plans from UnitedHealthcare list Fordham Road Dental PC 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 Fordham Road Dental PC was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.