125TH STREET DENTAL LLP
NPI 1861523771
Dentist - General Practice in New York, NY

Active since March 09, 2007
437 W 125TH ST, NEW YORK, NY 10027(646) 827-9819(646) 827-0510 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 125th Street Dental Llp NPPES

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

125TH STREET DENTAL LLP (NPI 1861523771) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since March 2007. The organization lists Serguei Kopetskov, President, as its authorized official.

NPPES Registry Identity

NPI1861523771
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name125TH STREET DENTAL LLP
Location Address437 W 125TH STNew York, NY 10027-4201
Mailing Address437 W 125th StNew York, NY 10027-4201 · (646) 827-9819 · Fax (646) 827-0510
Fax(646) 827-0510
Organization SubpartNo
Authorized OfficialSerguei KopetskovPresident · (646) 827-9819
Enumeration DateMarch 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1861523771 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 · 049097
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.
437 W 125TH ST, New York, NY 10027

Other Identifiers 1

Medicaid02772787NY

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

Other Providers at the Same Location NPPES 9

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

Dentist (Oral and Maxillofacial Surgery)
437 W 125TH ST
NEW YORK, NY 10027
Internal Medicine (Cardiovascular Disease)
437 W 125TH ST
NEW YORK, NY 10027
Family Medicine
437 W 125TH ST
NEW YORK, NY 10027
Dentist (General Practice)
437 W 125TH ST
NEW YORK, NY 10027
Oral & Maxillofacial Surgery
437 W 125TH ST
NEW YORK, NY 10027
Dentist
437 W 125TH ST
NEW YORK, NY 10027
Specialist
437 W 125TH ST
NEW YORK, NY 10027
Dentist (General Practice)
437 W 125TH ST
NEW YORK, NY 10027

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 125th Street Dental LLP's NPI number?

The NPI number for 125th Street Dental LLP is 1861523771. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is 125th Street Dental LLP located?

125th Street Dental LLP is located at 437 W 125th St, New York, NY 10027. The listed phone number is (646) 827-9819.

What is 125th Street Dental LLP'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 125th Street Dental LLP was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.