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

NPI Status: Active since March 17, 2025

Contact Information

30 CENTRAL PARK S RM 11C
NEW YORK, NY
ZIP 10019
Phone: (212) 702-8675
Fax: (212) 702-8675

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  • Organization
  • Dentist
  • General Practice

About MANHATTAN PARK DENTAL, PLLC

This page provides the complete NPI Profile along with additional information for Manhattan Park Dental, Pllc, a provider established in New York, New York operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1720888910 assigned on March 2025. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated March 2025. Manhattan Park Dental, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Camille Suzette San Miguel Dds (President)

NPI
1720888910
Provider Name
MANHATTAN PARK DENTAL, PLLC
Entity Type
Organization
Location Address
30 CENTRAL PARK S RM 11C NEW YORK, NY 10019
Location Phone
(212) 702-8675
Location Fax
(212) 702-8675
Mailing Address
30 CENTRAL PARK S RM 11C NEW YORK, NY 10019
Mailing Phone
(212) 702-8675
Mailing Fax
(212) 702-8675
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2025
Last Update Date
03-28-2025
Code Navigator

A dentist like Manhattan Park Dental, Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

 
21223P0221XDental Providers

Dentist
Pediatric Dentistry

 
31223P0700XDental Providers

Dentist
Prosthodontics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CAMILLE SUZETTE SAN MIGUEL DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(240) 491-7171

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720888910
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27401681692
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 6 + 8 + 1 + 6 + 9 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1720888910 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

DR. MAIKO TOMIZAWA DDS

Dentist

(General Practice)

30 CENTRAL PARK S RM 11C
NEW YORK, NY
ZIP 10019

(212) 702-8675

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720888910, enumerated as an "organization" on March 17, 2025.

The provider is located at 30 CENTRAL PARK S RM 11C NEW YORK, NY 10019 and the phone number is (212) 702-8675.

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