SP DENTAL, PC
NPI 1932370970
Dentist - General Practice in New York, NY

Active since March 18, 2008
3627 BROADWAY, NEW YORK, NY 10031(212) 234-2300(212) 234-2301 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sp Dental, Pc NPPES

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

SP DENTAL, PC (NPI 1932370970) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since March 2008. The organization lists Svetlana Ponomareva, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1932370970
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSP DENTAL, PC
Location Address3627 BROADWAYNew York, NY 10031-2518
Mailing Address3627 BroadwayNew York, NY 10031-2518 · (212) 234-2300 · Fax (212) 234-2301
Fax(212) 234-2301
Organization SubpartNo
Authorized OfficialSvetlana PonomarevaDentist/owner · (212) 234-2300
Enumeration DateMarch 18, 2008
NPI 1932370970 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 · 049663
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.

3627 BROADWAY, New York, NY 10031

Other Identifiers 1

Medicaid02224179NY

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932370970, enumerated as an "organization" on March 18, 2008.

The provider is located at 3627 BROADWAY NEW YORK, NY 10031 and the phone number is (212) 234-2300.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.