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PREMIER FAMILY DENTISTRY
NPI 1679932818
Clinic/Center - Dental in Bronx, NY

Active since February 16, 2016
3024 KINGSBRIDGE AVE, BRONX, NY 10463(718) 543-4747(718) 884-6137 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premier Family Dentistry NPPES

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

PREMIER FAMILY DENTISTRY (NPI 1679932818) is a healthcare organization registered as a dental in Bronx, New York and active in the NPI registry since February 2016. The organization lists Gabriel Adeyemi Isioye, Owner, as its authorized official.

NPPES Registry Identity

NPI1679932818
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePREMIER FAMILY DENTISTRY PLLC
Location Address3024 KINGSBRIDGE AVEBronx, NY 10463-5121
Mailing Address3024 Kingsbridge AveBronx, NY 10463-5121 · (718) 543-4747 · Fax (718) 884-6137
Phone(718) 543-4747
Fax(718) 884-6137
Organization SubpartNo
Authorized OfficialGabriel Adeyemi IsioyeOwner · (718) 543-4747
Enumeration DateFebruary 16, 2016
✔ NPI 1679932818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NY · 050241
3024 KINGSBRIDGE AVE, Bronx, NY 10463
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Other Names 1

Doing Business AsPremier Family Dentistry

Other Identifiers 1

Medicaid02419776NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Family Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Family Dentistry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gabriel Isioye, DDS
Oral Surgery
NPI 1942281829
3024 KINGSBRIDGE AVE
Bronx, NY 10463
(718) 543-4747
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Premier Family Dentistry PLLC's NPI number?

The NPI number for Premier Family Dentistry PLLC is 1679932818. It was assigned to this organization in the NPPES registry on February 16, 2016. The provider is doing business as Premier Family Dentistry.

Where is Premier Family Dentistry PLLC located?

Premier Family Dentistry PLLC is located at 3024 Kingsbridge Ave, Bronx, NY 10463. The listed phone number is (718) 543-4747.

What is Premier Family Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Premier Family Dentistry PLLC enrolled in Medicare?

Yes. Premier Family Dentistry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Family Dentistry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Premier Family Dentistry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Family Dentistry PLLC was last updated on February 16, 2016. 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.