PROFESSIONAL DENTAL OFFICE PC
NPI 1457320301
Dentist in New York, NY

Active since March 14, 2006
167 RIVINGTON ST, NEW YORK, NY 10002(212) 673-9367(212) 673-9367 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist

About PROFESSIONAL DENTAL OFFICE PC

This page provides the complete NPI Profile along with additional information for Professional Dental Office Pc, a provider established in New York, New York operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1457320301 assigned on March 2006. The practitioner's primary taxonomy code is 122300000X with license number 0484311 (NY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Rosa I Diaz Dds (Owner)

NPI
1457320301 Verify this NPI
Provider Name
PROFESSIONAL DENTAL OFFICE PC
Entity Type
Organization
Location Address
167 RIVINGTON ST NEW YORK, NY 10002
Location Phone
(212) 673-9367
Location Fax
(212) 673-9367
Mailing Address
1323 MYRTLE AVE BROOKLYN, NY 11221
Mailing Phone
(718) 602-5200
Mailing Fax
(718) 602-5200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Professional Dental Office Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
0484311
License State
NY
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROSA I DIAZ DDS

Authorized Official Title
OWNER
Authorized Official Phone
(718) 602-5200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01979033MEDICAID (05)NY 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
167 RIVINGTON ST, 1ST FLOOR
NEW YORK, NY 10002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457320301, enumerated as an "organization" on March 14, 2006.

The provider is located at 167 RIVINGTON ST NEW YORK, NY 10002 and the phone number is (212) 673-9367.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.