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CONCOURSE PLAZA FAMILY DENTAL LLC
NPI 1417325382
Dentist in Bronx, NY

Active since September 09, 2015
230 E 161ST ST, BRONX, NY 10451(718) 992-8200(718) 537-4169 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Concourse Plaza Family Dental Llc NPPES

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

CONCOURSE PLAZA FAMILY DENTAL LLC (NPI 1417325382) is a healthcare organization registered as a dentist in Bronx, New York and active in the NPI registry since September 2015. The organization lists Godrick Allister Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1417325382
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCONCOURSE PLAZA FAMILY DENTAL LLC
Location Address230 E 161ST STBronx, NY 10451-3546
Mailing Address230 E 161st StBronx, NY 10451-3546 · (718) 992-8200 · Fax (718) 537-4169
Phone(718) 992-8200
Fax(718) 537-4169
Organization SubpartNo
Authorized OfficialGodrick Allister TaylorOwner · (347) 204-3362
Enumeration DateSeptember 9, 2015
✔ NPI 1417325382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 052071
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.
230 E 161ST ST, Bronx, NY 10451
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Other Identifiers 1

Medicaid02677278NY

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

Other Providers at the Same Location NPPES 2

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

CONCOURSE PLAZA DENTAL ASSOCIATES PC
Dentist (General Practice)
230 E 161ST ST, CONCOURSE PLAZA SHOPPING CENTER
BRONX, NY 10451
Bronx County (718) 992-8200
DR. NARESH CHANDRA RASTOGI D.D.S
Dentist (General Practice)
230 E 161ST ST
BRONX, NY 10451
Bronx County (718) 992-8200

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 Concourse Plaza Family Dental LLC's NPI number?

The NPI number for Concourse Plaza Family Dental LLC is 1417325382. It was assigned to this organization in the NPPES registry on September 9, 2015.

Where is Concourse Plaza Family Dental LLC located?

Concourse Plaza Family Dental LLC is located at 230 E 161st St, Bronx, NY 10451. The listed phone number is (718) 992-8200.

What is Concourse Plaza Family Dental LLC'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 Concourse Plaza Family Dental LLC was last updated on September 9, 2015. 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.