P.C. DENTAL GROUP PLLC (NPI# 1235475989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235475989 |
| Entity Type | Organization |
| Organization Name | P.C. DENTAL GROUP PLLC |
| Practice Address |
1 Gateway Plz Port Chester NY 10573-4674 |
| Practice Telephone | 9144815733 |
| Practice Fax Number | 9144815729 |
| Mailing Telephone | 9144815733 |
| Mailing Fax Number | 9144815729 |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |
| Authorized Official Name | DR. STUART GRABER (MANAGING DENTIST) |
| Authorized Official Telephone | 9144815733 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 030324 | NY | Dental Providers |
| N | 122300000X | Dentist | 0561931 | NY | Dental Providers |
| N | 122300000X | Dentist | 0554981 | NY | Dental Providers |
| N | 122300000X | Dentist | 0513121 | NY | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
0518851 | NY | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
0451461 | NY | Dental Providers |
| N | 124Q00000X | Dental Hygienist | 339246134 | NY | Dental Providers |
| Y | 122300000X | Dentist | 0564181 | NY | Dental Providers |
| Street Address |
1 GATEWAY PLZ |
| City | PORT CHESTER |
| State | NY |
| Zip Code | 10573-4674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639224645 | Matilda Cathy Agar | Social Worker | 1 Gateway Plz, 401, Port Chester, NY 10573-4674 | 2007-01-23 |
| 1801362413 | Erica Pretel | Social Worker | 1 Gateway Plz, Port Chester, NY 10573-4674 | 2018-10-22 |
| 1902292576 | Terry-ann Wint | Social Worker | 1 Gateway Plz, Port Chester, NY 10573-4674 | 2015-04-10 |
| 1558611319 | Augustina Rueda | Counselor | 1 Gateway Plz, 4th Floor, Port Chester, NY 10573-4674 | 2012-09-19 |
| 1144579079 | Angela Lois | Social Worker | 1 Gateway Plz, Port Chester, NY 10573-4674 | 2012-09-06 |
| 1396010278 | Mia Diamond Padwa | Social Worker | 1 Gateway Plz, Port Chester, NY 10573-4674 | 2012-03-12 |
| 1972817294 | Dental Care of Portchester PC | Dentist | 1 Gateway Plz, Port Chester, NY 10573-4674 | 2010-07-28 |
| 1467771220 | Lupita Deluccia | Social Worker | 1 Gateway Plz, Port Chester, NY 10573-4674 | 2010-05-19 |
| 1841420312 | Amy B Mester | Counselor | 1 Gateway Plz, Fsw, 4th Floor, Port Chester, NY 10573-4674 | 2009-07-20 |
| 1932344900 | Jacqueline Ivette Duarte | Internal Medicine | 1 Gateway Plz, 3rd Fl, Port Chester, NY 10573-4674 | 2008-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627288 | Nikkita Jackson | Registered Nurse | 454 Westchester Avenue, Port Chester, NY 10573 | 2020-07-23 |
| 1568091676 | Jessica Michelle Cabrera-guzhnay | Counselor | One Gateway Plaza St.3b, Port Chester, NY 10573 | 2020-04-02 |
| 1275036436 | Vernon Z Harris | Massage Therapist | Rye Brook Physical Medicine and Rehabilitation PC, 14 Rye Ridge Plaza Suite 238, Rye Brook, NY 10573 | 2018-03-14 |
| 1750825303 | Christopher Petrowski | Contractor | 310 Locust Avenue, Port Chester, NY 10573 | 2016-12-15 |
| 1457808974 | Rye Ridge Pharmacy Inc | Pharmacy | 146 S. Ridge Street, Rye Brook, NY 10573 | 2016-09-01 |
| 1841646270 | Jill Brookman | Specialist | 124 Country Ridge Drive, Rye Brook, NY 10573 | 2016-05-04 |
| 1396128963 | Madhulika Priya Advani | Dentist | 118 South Ridge St, Suite 5, Rye Brook, NY 10573 | 2015-07-01 |
| 1407254063 | Mirzana Calhoun | Licensed Practical Nurse | 411 Westchester Ave 1-c, Port Chester, NY 10573 | 2014-12-15 |
| 1053734038 | Marvin Israel Matz | Otolaryngology | 60 Doral Greens Drive West, Rye Brook, NY 10573 | 2014-01-28 |
| 1932520392 | Beth Woodtli | Counselor | 12 Jean Lane, Rye Brook, NY 10573 | 2014-01-02 |
| Find all providers in zip 10573 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649331398 | Nilesh C. Patel | Dentist | 109 Westchester Ave, Port Chester, NY 10573-4513 | 2006-12-13 |
| 1578991410 | Chi D Fu | Dentist | 395 Westchester Ave, Port Chester, NY 10573-3651 | 2013-10-30 |
| 1790987089 | Michael David Robinson | Dentist | 5 Grace Church St, Open Door Family Medical Centers, Inc., Port Chester, NY 10573-4911 | 2007-05-31 |
| 1760545164 | Raha Iraj | Dentist | 5 Grace Church St, Open Door Family Medical Centers, Inc., Port Chester, NY 10573-4911 | 2006-12-18 |
| 1710051701 | Puja Taneja | Dentist | 388 Westchester Ave, Suite 1m, Port Chester, NY 10573-3650 | 2006-11-20 |
| 1720009137 | Jay Walter Schwarz | Dentist | 388 Westchester Ave, Port Chester, NY 10573-3650 | 2006-07-21 |
| 1952339863 | Pasquale Frank Cremonese | Dentist | 5 Grace Church St, Port Chester, NY 10573-4911 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1336749530 | Suffolk Dental Care, PC | Dentist | 3650 Route 112 Ste 105, Coram, NY 11727-4131 | 2020-10-27 |
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1316553613 | Hihland Falls Dental Associate | Dentist | 70 Villa Pkwy, Highland Falls, NY 10928-1615 | 2020-09-22 |
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1255945945 | Derek Lin | Dentist | 10750 Queens Blvd Ste 2, Forest Hills, NY 11375-4266 | 2020-09-01 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1194334607 | Asnis Dental Pllc | Dentist | 112 Alexander Ave Unit A, Lake Grove, NY 11755-0429 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHESTER |
| Zip Code | 10573 |
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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.