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2ND AVENUE TOOTH DOCTOR,PC
NPI 1538378633
Dentist - General Practice in New York, NY

Active since May 22, 2007
1976 2ND AVE, NEW YORK, NY 10029(212) 996-6269 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 2nd Avenue Tooth Doctor,pc NPPES

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

2ND AVENUE TOOTH DOCTOR,PC (NPI 1538378633) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since May 2007. The organization lists Gina Colon, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1538378633
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name2ND AVENUE TOOTH DOCTOR,PC
Location Address1976 2ND AVENew York, NY 10029
Mailing Address1976 2nd AveNew York, NY 10029 · (212) 996-6269
Phone(212) 996-6269
Organization SubpartNo
Authorized OfficialGina ColonOffice Manager · (212) 996-6269
Enumeration DateMay 22, 2007
Last NPPES UpdateJune 13, 2008
✔ NPI 1538378633 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.
1976 2ND AVE, New York, NY 10029
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Other Identifiers 1

Medicaid02783984NY

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

ALI MOHAMMED PHARM D
Pharmacist
1976 2ND AVE
NEW YORK, NY 10029
New York County (212) 831-1222
FRANK H RICHARDSON
Dentist (General Practice)
1976 2ND AVE
NEW YORK, NY 10029
New York County (212) 996-6269
MRS. YOLANDE THOMAS-ELLIS PA-C
Physician Assistant
1976 2ND AVE
NEW YORK, NY 10029
New York County (212) 879-6000

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 2nd Avenue Tooth Doctor,pc's NPI number?

The NPI number for 2nd Avenue Tooth Doctor,pc is 1538378633. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is 2nd Avenue Tooth Doctor,pc located?

2nd Avenue Tooth Doctor,pc is located at 1976 2nd Ave, New York, NY 10029. The listed phone number is (212) 996-6269.

What is 2nd Avenue Tooth Doctor,pc'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 2nd Avenue Tooth Doctor,pc was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.