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GUARDIAN DENTAL PLLC
NPI 1982124798
Dentist - General Practice in New York, NY

Active since June 22, 2017
3682 BROADWAY FRNT 1, NEW YORK, NY 10031(917) 524-5622 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 22, 2017 (2 updates tracked since 2017).

About Guardian Dental Pllc NPPES

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

GUARDIAN DENTAL PLLC (NPI 1982124798) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since June 2017. The organization lists Jeremy Yoo, President, as its authorized official.

NPPES Registry Identity

NPI1982124798
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGUARDIAN DENTAL PLLC
Location Address3682 BROADWAY FRNT 1New York, NY 10031-1526
Mailing Address3682 Broadway Frnt 1New York, NY 10031-1526 · (917) 524-5622
Phone(917) 524-5622
Organization SubpartNo
Authorized OfficialJeremy YooPresident · (917) 524-5622
Enumeration DateJune 22, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1982124798 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 · 50-055536
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.
3682 BROADWAY FRNT 1, New York, NY 10031
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Other Identifiers 1

Medicaid03427369NY

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guardian Dental PLLC's NPI number?

The NPI number for Guardian Dental PLLC is 1982124798. It was assigned to this organization in the NPPES registry on June 22, 2017.

Where is Guardian Dental PLLC located?

Guardian Dental PLLC is located at 3682 Broadway Frnt 1, New York, NY 10031. The listed phone number is (917) 524-5622.

What is Guardian 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 Guardian Dental PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.