THIRD AVENUE BRONX DENTAL PC (NPI# 1720542210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720542210 |
| Entity Type | Organization |
| Organization Name | THIRD AVENUE BRONX DENTAL PC |
| Practice Address |
2740 3rd Ave Bronx NY 10455-4036 |
| Practice Telephone | 7186180162 |
| Practice Fax Number | 7186180173 |
| Mailing Telephone | 7186180162 |
| Mailing Fax Number | 7186180173 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Authorized Official Name | DR. SUNG KWANG KIM (OWNER) |
| Authorized Official Telephone | 7186180162 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05315619 | 05 |
| Street Address |
2740 3RD AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10455-4036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861575805 | Big Mart Pharmacy Inc | Pharmacy | 2740 3rd Ave, Bronx, NY 10455-4036 | 2006-10-23 |
| 1255856324 | Harvey Schilowitz, D.d.s. | Dentist | 2740 3rd Ave, Bronx, NY 10455-4036 | 2017-08-09 |
| 1073939146 | Kristen Lee | Dentist | 2740 3rd Ave, Bronx, NY 10455-4036 | 2014-03-12 |
| 1699108563 | Sung Kwang Kim | Dentist | 2740 3rd Ave, Bronx, NY 10455-4036 | 2013-08-15 |
| 1962727073 | Ali Mohamed Ali Soliman | Pharmacist | 2740 3rd Ave, Bronx, NY 10455-4036 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946331 | Nutrished Dietitian Nutrition Solutions, P.C. | Dietitian, Registered | 2825 Third Ave Suite #301, Bronx, NY 10455 | 2020-09-15 |
| 1538641907 | Michelle Flores | Pharmacy Technician | 754 E 151 St, Bronx, NY 10455 | 2018-09-03 |
| 1669973285 | Uhc Adult Day Program & Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 368, East 149th Street Suite 3a, Bronx, NY 10455 | 2018-02-28 |
| 1578061206 | Ursula Ma Stafford | Case Management | 391 East 149 St, Suite 417, Bronx, NY 10455 | 2018-01-29 |
| 1942714506 | Chantal J George | Case Manager/Care Coordinator | 391 East 149th Street, 417, Bronx, NY 10455 | 2017-11-18 |
| 1598295800 | Sonrisa Corp | Pharmacy | 755b East 149th St, Bronx, NY 10455 | 2017-06-19 |
| 1962931378 | Josepjh Appau | Licensed Practical Nurse | 512 Jackson Avenue, Apt 2a, Bronx, NY 10455 | 2017-06-08 |
| 1295187664 | Leticia Robles | Social Worker | 480 Concord Avenue Apt#3j, Bronx, NY 10455 | 2016-07-08 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
| Find all providers in zip 10455 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351124 | Dental On The Hudson | Clinic/Center | 2735 Henry Hudson Pkwy Ste 203, Bronx, NY 10463-4701 | 2019-11-25 |
| 1366880841 | S&b Dental Group, P.C. | Clinic/Center | 500 E 165th St, Bronx, NY 10456-6657 | 2013-06-06 |
| 1275771248 | Superior Dental | Clinic/Center | 2475 Grand Concourse, Bronx, NY 10468-5443 | 2009-01-29 |
| 1801067715 | All In One Dental | Clinic/Center | 4521 3rd Ave, Bronx, NY 10457-1515 | 2008-03-19 |
| 1508037466 | Alejandro Williams Dental Office PC | Clinic/Center | 1624 University Ave, Bronx, NY 10453 | 2008-03-19 |
| 1154449924 | Joseph Landisi | Clinic/Center | 1750 Crosby Ave, Bronx, NY 10461 | 2007-03-27 |
| 1932713849 | Gerald Fiterstein Dds PC | Clinic/Center | 1049 E 163rd St, Bronx, NY 10459-4510 | 2020-09-08 |
| 1770132037 | Michael Aghelian Dds Pllc | Clinic/Center | 2005 Nereid Ave, Bronx, NY 10466-1228 | 2019-09-10 |
| 1861997702 | Charles Husaini | Clinic/Center | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2018-03-23 |
| 1679932818 | Premier Family Dentistry Pllc | Clinic/Center | 3024 Kingsbridge Ave, Bronx, NY 10463-5121 | 2016-02-16 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on THIRD AVENUE BRONX DENTAL PC.
| 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.