ELEVATION DENTAL STUDIO, DMD, P.C. (NPI# 1467003160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467003160 |
| Entity Type | Organization |
| Organization Name | ELEVATION DENTAL STUDIO, DMD, P.C. |
| Practice Address |
545 Gramatan Ave Unit B Mount Vernon NY 10552-2103 |
| Practice Telephone | 9142598559 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | MITZ-ANN EDMOND (DENTIST / OWNER) |
| Authorized Official Telephone | 9142598559 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1740516525 | 01 | |
| DC | DEA | FA1738890 | 01 |
| NY | 03232928 | 05 |
| Address | 545 Gramatan Ave, Mt Vernon, NY 10552 |
| Phone | (914) 259-8559 |
| Street Address |
545 GRAMATAN AVE UNIT B |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10552-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541119 | Dawson Service Solution LLC | In Home Supportive Care | Sheridan Avenue, Mount Vernon, NY 10552 | 2020-02-27 |
| 1821648908 | Yvonne Euretta Thorpe-roswell | Technician | 457 North Columbus Avenue, Mount Vernon, NY 10552 | 2019-09-19 |
| 1598256539 | Professional Orthopedic and Sports Physical Therapy PC | Clinic/Center | 599 Gramatan Ave Ste 205, Fleetwood, NY 10552 | 2018-05-25 |
| 1346770096 | Tina Earle | Registered Nurse | 544 North Terrace Ave, Mt. Vernon, NY 10552 | 2017-06-15 |
| 1598200867 | Vivienne Iona Bartley | Nurse Practitioner | 115 Primrose Avenue, Mount Vernon, NY 10552 | 2016-12-22 |
| 1447702014 | Ilone Bajjo | Nurse Practitioner | 6 Lenox Ave, Mt. Vernon, NY 10552 | 2016-10-31 |
| 1023561578 | Angella D Brown | Registered Nurse | 180 Pearsole Drive, Apt D1e, Mt Vernon, NY 10552 | 2016-08-02 |
| 1053789479 | Julinnis Morales | Occupational Therapist | 72 Lexington Ave, Mount Vernon, NY 10552 | 2015-09-02 |
| 1053788760 | Kadisha Currie | Early Intervention Provider Agency | 161 Pearsall Drive 4d, Mount Vernon, NY 10552 | 2015-08-28 |
| 1679969968 | Nisha Murray | Behavioral Analyst | 21 W Devonia Ave, Mount Vernon, NY 10552 | 2015-04-13 |
| Find all providers in zip 10552 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659927515 | Manogna Deepthi Yakasiri | Dentist | 4201 Broadway St Ste C, Mount Vernon, IL 62864-2282 | 2019-08-15 |
| 1982263463 | Graham Whinery | Dentist | 908 Highway 37, Mount Vernon, TX 75457-4500 | 2019-06-10 |
| 1184197386 | Rockcastle County Hospital, Inc. | Dentist | 75 Newcomb Ave, Mount Vernon, KY 40456-2732 | 2019-01-10 |
| 1346739430 | Broadway Smiles Dental PC | Dentist | 105 Stevens Ave Ste 302, Mount Vernon, NY 10550-2680 | 2018-05-04 |
| 1629468566 | Franklin Dentistry Associates Pa | Dentist | 908 Texas Highway 37, Mount Vernon, TX 75457-4500 | 2015-01-30 |
| 1326387341 | Edly Destine | Dentist | 88 W Lincoln Ave Ste 102, Mount Vernon, NY 10550-1181 | 2013-02-11 |
| 1114262847 | Cross Creek Dental Care - Mount Vernon,llc | Dentist | 214 E Chestnut St, Mount Vernon, OH 43050-3447 | 2012-12-06 |
| 1104142918 | David Keith Uebelhack | Dentist | 803 East Fourth St., Mount Vernon, IN 47620-0673 | 2010-04-19 |
| 1821324112 | Associates In Dentistry LLC | Dentist | 940 W Main St Unit A, Mount Vernon, KY 40456-2518 | 2009-10-21 |
| 1205089232 | Gentle Dentistry | Dentist | 2100 E Section St Ste 101, Mount Vernon, WA 98274-9132 | 2008-11-04 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10552 |
Please comment or provide details below to improve the information on ELEVATION DENTAL STUDIO, DMD, P.C..
| 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.