OrganizationActive
Fordham Road Dental PC
NPI 1306050869 · General Practice Dentistry · Bronx, NY
Fordham Road Dental PC is a General Practice Dentistry organization in Bronx, NY (NPI 1306050869).
Provider details
- NPI number
- 1306050869
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Diane Bertuzzi, Practice Manager(845) 304-6110
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
327 E Fordham Rd
2nd Floor
Bronx, NY 10458-5002
Phone: (718) 933-8400
Fax: (718) 933-3731
Street-level locationGet directions
Mailing address
327 E Fordham Rd
Bronx, NY 10458-5002
Other names (DBA / former)
- Former legal business name
- Executive Associates, LLC
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2016-05-26
Frequently asked questions
- What is Fordham Road Dental PC's NPI number?
- Fordham Road Dental PC's National Provider Identifier (NPI) is 1306050869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fordham Road Dental PC?
- Fordham Road Dental PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Fordham Road Dental PC located?
- Fordham Road Dental PC's practice location on file with NPPES is 327 E Fordham Rd, Bronx, NY 10458-5002.
- What is Fordham Road Dental PC's phone number?
- The practice phone number listed in the NPPES registry for Fordham Road Dental PC is (718) 933-8400.
- Who is the authorized official for Fordham Road Dental PC?
- The authorized official listed on Fordham Road Dental PC's NPPES record is Diane Bertuzzi, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fordham Road Dental PC's NPI active?
- Yes — Fordham Road Dental PC's NPI (1306050869) is active in the NPPES registry as of the last update on 2016-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.