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PERIODONTICS OF NEW YORK, PLLC
NPI 1992504856
Clinic/Center - Dental in New York, NY

Active since March 12, 2025
30 E 40TH ST RM 1102, NEW YORK, NY 10016(212) 683-4476(212) 683-4577 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Periodontics Of New York, Pllc NPPES

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

PERIODONTICS OF NEW YORK, PLLC (NPI 1992504856), doing business as Philip D Pack, Dmd, is a healthcare organization registered as a dental in New York, New York and active in the NPI registry since March 2025. The organization lists Philip David Pack, Owner, as its authorized official.

NPPES Registry Identity

NPI1992504856
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePERIODONTICS OF NEW YORK, PLLC
Location Address30 E 40TH ST RM 1102New York, NY 10016-1204
Mailing Address30 E 40th St Rm 1102New York, NY 10016-1204 · (212) 683-4476 · Fax (212) 683-4577
Phone(212) 683-4476
Fax(212) 683-4577
Organization SubpartNo
Authorized OfficialPhilip David PackOwner · (212) 683-4476
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1992504856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
30 E 40TH ST RM 1102, New York, NY 10016
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Other Names 1

Former Legal Business NamePhilip D Pack, Dmd

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 Periodontics Of New York, PLLC's NPI number?

The NPI number for Periodontics Of New York, PLLC is 1992504856. It was assigned to this organization in the NPPES registry on March 12, 2025. The provider was formerly known as Philip D Pack, DMD.

Where is Periodontics Of New York, PLLC located?

Periodontics Of New York, PLLC is located at 30 E 40th St Rm 1102, New York, NY 10016. The listed phone number is (212) 683-4476.

What is Periodontics Of New York, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Periodontics Of New York, PLLC was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.