ADVANCED BRONX DENTAL PLLC (NPI# 1497038608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497038608 |
| Entity Type | Organization |
| Organization Name | ADVANCED BRONX DENTAL PLLC |
| Other Organization Name | ADVANCED BRONX ORAL SURGERY |
| Practice Address |
237 Willis Ave Bronx NY 10454-2678 |
| Practice Telephone | 7182926209 |
| Mailing Telephone | 7182926209 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |
| Authorized Official Name | DR. ALEXANDER MUSHEYEV (DIRECTOR) |
| Authorized Official Telephone | 7182926209 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Advanced Bronx Oral Surgery | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ADVANCED BRONX DENTAL PLLC | 237 Willis Ave., Bronx, Ny 10454 |
| Street Address |
237 WILLIS AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10454-2678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093939365 | Alexander Musheyev | Dentist | 237 Willis Ave, Bronx, NY 10454-2678 | 2007-04-11 |
| 1184896607 | Willis Dental Care, P.l.l.c. | Dentist | 237 Willis Ave, Bronx, NY 10454-2678 | 2008-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679044762 | Roland Koduah | Pharmacist | 537-539 East 138th Street, Bronx, NY 10454 | 2018-12-16 |
| 1407369416 | Noor Kazi LLC | Psychiatry & Neurology | 679 East 138 Street, Bronx, Fl.1, Bronx, NY 10454 | 2017-11-13 |
| 1982122628 | Jacob Mauro Dominguez | Licensed Practical Nurse | 223 Brook Av, Bronx, NY 10454 | 2017-09-01 |
| 1730618182 | Geanell Compton | Speech-Language Pathologist | 345 Brook Avenue, Bronx, NY 10454 | 2017-06-08 |
| 1285084053 | Everlaines Chapman Viltres | Registered Nurse | 426 E 141st St Apt 2, Bronx, NY 10454 | 2016-06-13 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1073904975 | Alexis Acevedo | Counselor | 14 Bruckner Blvd Ste 3e, Bronx, NY 10454 | 2015-02-12 |
| 1609266949 | Andira Pena | Licensed Practical Nurse | 803 East 138th Street, Bronx, NY 10454 | 2015-01-26 |
| 1154675833 | Niki Patel | Occupational Therapist | 468 East 140th Street, Bronx, NY 10454 | 2012-11-02 |
| 1851697395 | New Superior Radio Group, Corp. | Taxi | 133 Lincoln Avenue, Bronx, NY 10454 | 2011-02-01 |
| Find all providers in zip 10454 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538551296 | Bronx Oral Surgery, PC | Dentist | 355 E 149th St Rm 206, Bronx, NY 10455-3909 | 2015-03-04 |
| 1598192569 | Hanuman Oral Surgery Pllc | Dentist | 2070 Grand Concourse, Bronx, NY 10457-2837 | 2013-10-04 |
| 1689804569 | Katherine Kyoung-jin Lee | Dentist | 1210 Lakewood Pl, Bronx, NY 10461-1816 | 2009-07-25 |
| 1528201613 | Manhattan Oral Facial Surgery LLC | Dentist | 6118 Riverdale Ave, Bronx, NY 10471-1009 | 2009-04-20 |
| 1568517431 | Mohammad Kazem Sadeghi | Dentist | 3370 Baychester Ave, Bronx, NY 10475-1565 | 2007-01-23 |
| 1184781791 | Riverdale Oral & Maxillofacial Surgery PC | Dentist | 3333 Henry Hudson Pky, Suite 9, Bronx, NY 10463-3236 | 2007-01-02 |
| 1043396930 | Lawrence Steven Holtzman | Dentist | 1250 Waters Pl Ste 503, Bronx, NY 10461-2732 | 2006-10-31 |
| 1780684373 | Bartley R. Labiner | Dentist | 1940 Grand Concourse, Bronx, NY 10457-5221 | 2005-07-26 |
| 1033115506 | Paul Gates | Dentist | 1770 Grand Concourse, Bronx, NY 10457-5524 | 2005-06-21 |
| 1760485247 | Mauricio Wiltz | Dentist | 3332 Rochambeau Avenue, Department of Dentistry, 2nd Floor, Bronx, NY 10467-2836 | 2005-05-27 |
| Find all providers in BRONX | ||||
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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.