NANUET MALL DENTAL, P.C.
NPI 1609093905
Dentist - General Practice in Nanuet, NY

Active since April 19, 2007
75 W ROUTE 59, SUITE# 1009A, NANUET, NY 10954(845) 624-7500(845) 624-7505 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nanuet Mall Dental, P.c. NPPES

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

NANUET MALL DENTAL, P.C. (NPI 1609093905) is a healthcare organization registered as a general practice in Nanuet, New York and active in the NPI registry since April 2007. The organization lists Yelena Khrapko, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1609093905
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNANUET MALL DENTAL, P.C.
Location Address75 W ROUTE 59, SUITE# 1009ANanuet, NY 10954-2700
Mailing Address75 W Route 59, Suite# 1009aNanuet, NY 10954-2700 · (845) 624-7500 · Fax (845) 624-7505
Fax(845) 624-7505
Organization SubpartNo
Authorized OfficialYelena KhrapkoGeneral Dentist · (845) 624-7500
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1609093905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 049059
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.
75 W ROUTE 59, Nanuet, NY 10954

Other Identifiers 1

Medicaid02550030NY

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 8

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

Optometrist
75 W ROUTE 59, 224 NANUET MALL
NANUET, NY 10954
Optometrist
75 W ROUTE 59, 224 NANUET MALL
NANUET, NY 10954
Eyewear Supplier
75 W ROUTE 59, ROOM 1013
NANUET, NY 10954
Optometrist
75 W ROUTE 59
NANUET, NY 10954
Dentist (General Practice)
75 W ROUTE 59, STE 201
NANUET, NY 10954
Chiropractor
75 W ROUTE 59, STE 2035
NANUET, NY 10954
Optometrist
75 W ROUTE 59, SEARS OPTICAL DEPARTMENT
NANUET, NY 10954
Optometrist
75 W ROUTE 59, 224 NANUET MALL
NANUET, NY 10954

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 Nanuet Mall Dental, P.C.'s NPI number?

The NPI number for Nanuet Mall Dental, P.C. is 1609093905. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Nanuet Mall Dental, P.C. located?

Nanuet Mall Dental, P.C. is located at 75 W Route 59 Suite# 1009A, Nanuet, NY 10954. The listed phone number is (845) 624-7500.

What is Nanuet Mall Dental, P.C.'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 Nanuet Mall Dental, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.