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THIRD AVENUE BRONX DENTAL PC
NPI 1720542210
Clinic/Center - Dental in Bronx, NY

Active since January 29, 2019
2740 3RD AVE, BRONX, NY 10455(718) 618-0162(718) 618-0173 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Third Avenue Bronx Dental Pc NPPES

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

THIRD AVENUE BRONX DENTAL PC (NPI 1720542210) is a healthcare organization registered as a dental in Bronx, New York and active in the NPI registry since January 2019. The organization lists Sung Kwang Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1720542210
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTHIRD AVENUE BRONX DENTAL PC
Location Address2740 3RD AVEBronx, NY 10455-4036
Mailing Address2740 3rd AveBronx, NY 10455-4036 · (718) 618-0162 · Fax (718) 618-0173
Phone(718) 618-0162
Fax(718) 618-0173
Organization SubpartNo
Authorized OfficialSung Kwang KimOwner · (718) 618-0162
Enumeration DateJanuary 29, 2019
✔ NPI 1720542210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2740 3RD AVE, Bronx, NY 10455
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Other Identifiers 1

Medicaid05315619NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Solstice Benefits, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Third Avenue Bronx Dental Pc 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 Third Avenue Bronx Dental PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sung Kwang Kim, D.D.S.
Dentist
NPI 1699108563
2740 3RD AVE
Bronx, NY 10455
(917) 263-1604
✔ 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 Third Avenue Bronx Dental PC's NPI number?

The NPI number for Third Avenue Bronx Dental PC is 1720542210. It was assigned to this organization in the NPPES registry on January 29, 2019.

Where is Third Avenue Bronx Dental PC located?

Third Avenue Bronx Dental PC is located at 2740 3rd Ave, Bronx, NY 10455. The listed phone number is (718) 618-0162.

What is Third Avenue Bronx Dental PC's specialty?

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

Is Third Avenue Bronx Dental PC enrolled in Medicare?

Yes. Third Avenue Bronx Dental PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Third Avenue Bronx Dental PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Third Avenue Bronx Dental PC. 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.

What insurance does Third Avenue Bronx Dental PC accept?

Health plans from Solstice Benefits and UnitedHealthcare list Third Avenue Bronx Dental PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Third Avenue Bronx Dental PC was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.