EAST 4TH STREET DENTAL PLLC (NPI# 1205490182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205490182 |
| Entity Type | Organization |
| Organization Name | EAST 4TH STREET DENTAL PLLC |
| Practice Address |
101 East 4th Street New York NY 10003 |
| Practice Telephone | 2122397027 |
| Mailing Telephone | 2122397027 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |
| Authorized Official Name | DR. DMITRIY VOLOTSENKO (MANAGING MEMBER) |
| Authorized Official Telephone | 9177978052 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EAST 4TH STREET DENTAL PLLC | 101 East 4th St, New York, New York 10003 |
| Street Address |
101 EAST 4TH STREET |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| Find all providers in zip 10003 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134410822 | Richard Diamond | Dentist | 630 W 168th St # 20, New York, NY 10032-3725 | 2011-04-28 |
| 1013499052 | 12th Street Dental Pllc | Dentist | 77 E 12th St, New York, NY 10003-5002 | 2018-09-06 |
| 1245680040 | Long-giang Nguyen Chau | Dentist | 345 E 24th St, New York, NY 10010-4020 | 2016-06-13 |
| 1588022297 | Jyoti Srivastava Dds & Robert Castracane Dmd LLC | Dentist | 595 Madison Ave Fl 27, New York, NY 10022-1649 | 2016-02-09 |
| 1831563881 | Nick M Mobilia, Dds, PC | Dentist | 9 E 45th St Fl 6, New York, NY 10017-2425 | 2015-11-13 |
| 1447642178 | Asnis Dental, Pllc | Dentist | 211 W 79th St, New York, NY 10024 | 2015-03-04 |
| 1417152810 | Athanasios I. Zavras | Dentist | 622 W 168th St, Suite Ph17w-306, New York, NY 10032-3720 | 2007-06-18 |
| 1508988635 | Carolyn Vanbuskirk | Dentist | 30 Central Park S, Suite #12 A, New York, NY 10019-1628 | 2007-04-06 |
| 1801920038 | David A Albert | Dentist | 99 Fort Washington Ave, Ambulatory Care Practice-first Floor Nyph, New York, NY 10032-4655 | 2007-03-16 |
| 1538224811 | Lawrence Bailey | Dentist | 264 W 118th St, Second Floor Dental Clinic, New York, NY 10026-1620 | 2006-12-27 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.