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MANHATTAN PARK DENTAL, PLLC
NPI 1720888910
Dentist - General Practice in New York, NY

Active since March 17, 2025
30 CENTRAL PARK S RM 11C, NEW YORK, NY 10019(212) 702-8675(212) 702-8675 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2025, Mar 17, 2025 (2 updates tracked since 2025).

About Manhattan Park Dental, Pllc NPPES

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

MANHATTAN PARK DENTAL, PLLC (NPI 1720888910) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since March 2025. The organization lists Camille Suzette San Miguel, President, as its authorized official.

NPPES Registry Identity

NPI1720888910
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMANHATTAN PARK DENTAL, PLLC
Location Address30 CENTRAL PARK S RM 11CNew York, NY 10019-1628
Mailing Address30 Central Park S Rm 11cNew York, NY 10019-1628 · (212) 702-8675 · Fax (212) 702-8675
Phone(212) 702-8675
Fax(212) 702-8675
Organization SubpartNo
Authorized OfficialCamille Suzette San MiguelPresident · (240) 491-7171
Enumeration DateMarch 17, 2025
Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1720888910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
30 CENTRAL PARK S RM 11C, New York, NY 10019
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. MAIKO TOMIZAWA DDS
Dentist (General Practice)
30 CENTRAL PARK S RM 11C
NEW YORK, NY 10019
New York County (212) 702-8675

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 Manhattan Park Dental, PLLC's NPI number?

The NPI number for Manhattan Park Dental, PLLC is 1720888910. It was assigned to this organization in the NPPES registry on March 17, 2025.

Where is Manhattan Park Dental, PLLC located?

Manhattan Park Dental, PLLC is located at 30 Central Park S Rm 11C, New York, NY 10019. The listed phone number is (212) 702-8675.

What is Manhattan Park Dental, PLLC'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 Manhattan Park Dental, PLLC was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.