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: July 19, 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.Information from the official NPPES registry record.

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

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609093905, enumerated as an "organization" on April 19, 2007.

The provider is located at 75 W ROUTE 59 SUITE# 1009A NANUET, NY 10954 and the phone number is (845) 624-7500.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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