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PARK AVENUE DENTAL BOUTIQUE, L.L.C.
NPI 1316440266
Dentist in New York, NY

Active since March 16, 2018
104 E 74TH ST, NEW YORK, NY 10021(212) 369-2202 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Avenue Dental Boutique, L.l.c. NPPES

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

PARK AVENUE DENTAL BOUTIQUE, L.L.C. (NPI 1316440266) is a healthcare organization registered as a dentist in New York, New York and active in the NPI registry since March 2018. The organization lists Michael Warszawski, Secretary, as its authorized official.

NPPES Registry Identity

NPI1316440266
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePARK AVENUE DENTAL BOUTIQUE, L.L.C.
Location Address104 E 74TH STNew York, NY 10021-3544
Mailing Address104 E 74th StNew York, NY 10021-3544 · (212) 369-2202
Phone(212) 369-2202
Organization SubpartNo
Authorized OfficialMichael WarszawskiSecretary · (646) 455-8657
Enumeration DateMarch 16, 2018
✔ NPI 1316440266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 0506391
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
104 E 74TH ST, New York, NY 10021
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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.

CAROLINA HAKOPIAN DDS
Dentist (General Practice)
104 E 74TH ST
NEW YORK, NY 10021
New York County (212) 369-2202

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 Park Avenue Dental Boutique, L.L.C.'s NPI number?

The NPI number for Park Avenue Dental Boutique, L.L.C. is 1316440266. It was assigned to this organization in the NPPES registry on March 16, 2018.

Where is Park Avenue Dental Boutique, L.L.C. located?

Park Avenue Dental Boutique, L.L.C. is located at 104 E 74th St, New York, NY 10021. The listed phone number is (212) 369-2202.

What is Park Avenue Dental Boutique, L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Park Avenue Dental Boutique, L.L.C. was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.