PERIODONTICS OF NEW YORK, PLLC
NPI 1992504856
Clinic/Center - Dental in New York, NY
Active since March 12, 2025
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
Other Names 1
Former Legal Business NamePhilip D Pack, Dmd
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992504856, enumerated as an "organization" on March 12, 2025.
The provider is located at 30 E 40TH ST RM 1102 NEW YORK, NY 10016 and the phone number is (212) 683-4476.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
