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12th Street Dental PLLC — NPI 1013499052, New York, NY | NPI Central

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12th Street Dental PLLC

NPI 1013499052 · Public Health Dentistry · New York, NY

Provider details

NPI number: 1013499052
Entity type: Organization
Primary specialty: Public Health DentistryDental Providers
Authorized official: David Janash, President and Ceo
License: 051610 (NY)

Practice location

77 E 12th St

New York, NY 10003-5002

Phone: (917) 915-4504

More NY providers

Mailing address

30 Central Park S Rm 13c

New York, NY 10019-1646

Registry dates

Enumerated: 2018-09-06
Last updated: 2024-05-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.