OrganizationActive
125th St. Dental Group, PLLC
NPI 1134561137 · Orthodontics and Dentofacial Orthopedics Dentistry · New York, NY
Provider details
- NPI number
- 1134561137
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Authorized official
- Daniel Kuncio, Member
- License
- 051019 (NY)
Practice location
63 W 125th St
2nd Floor
New York, NY 10027-4512
Phone: (646) 505-8852
Mailing address
63 W 125th St
New York, NY 10027-4512
Registry dates
- Enumerated
- 2013-07-19
- Last updated
- 2013-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.