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WEST END AVE PEDIATRIC DENTISTRY
NPI 1962125617
Dentist - Pediatric Dentistry in New York, NY

Active since September 19, 2022
440 W END AVE STE 1C, NEW YORK, NY 10024(212) 280-7224 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West End Ave Pediatric Dentistry NPPES

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

WEST END AVE PEDIATRIC DENTISTRY (NPI 1962125617) is a healthcare organization registered as a pediatric dentistry in New York, New York and active in the NPI registry since September 2022. The organization lists Robert Peracchia, Owner, as its authorized official.

NPPES Registry Identity

NPI1962125617
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWEST END AVE PEDIATRIC DENTISTRY
Location Address440 W END AVE STE 1CNew York, NY 10024-5358
Mailing Address440 W End Ave Ste 1cNew York, NY 10024-5358
Phone(212) 280-7224
Organization SubpartNo
Authorized OfficialRobert PeracchiaOwner · (212) 280-7224
Enumeration DateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1962125617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
440 W END AVE STE 1C, New York, NY 10024
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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 2

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

DR. MARIAM SAMEENA AHMAD DDS
Dentist (Pediatric Dentistry)
440 W END AVE STE 1C
NEW YORK, NY 10024
New York County (917) 979-2673
DR. RILEY REARDON DDS
Dentist (Pediatric Dentistry)
440 W END AVE STE 1C
NEW YORK, NY 10024
New York County (212) 280-7224

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 West End Ave Pediatric Dentistry's NPI number?

The NPI number for West End Ave Pediatric Dentistry is 1962125617. It was assigned to this organization in the NPPES registry on September 19, 2022.

Where is West End Ave Pediatric Dentistry located?

West End Ave Pediatric Dentistry is located at 440 W End Ave Ste 1C, New York, NY 10024. The listed phone number is (212) 280-7224.

What is West End Ave Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for West End Ave Pediatric Dentistry was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.