OrganizationActive
Park Avenue Dental Boutique, L.L.C.
NPI 1316440266 · Dentist · New York, NY
Park Avenue Dental Boutique, L.L.C. is a Dentist organization in New York, NY (NPI 1316440266).
Provider details
- NPI number
- 1316440266
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michael Warszawski, Secretary(646) 455-8657
- License
- 0506391 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
104 E 74th St
New York, NY 10021-3544
Phone: (212) 369-2202
Street-level locationGet directions
Mailing address
104 E 74th St
New York, NY 10021-3544
Registry dates
- Enumerated
- 2018-03-16
- Last updated
- 2018-03-16
Frequently asked questions
- What is Park Avenue Dental Boutique, L.L.C.'s NPI number?
- Park Avenue Dental Boutique, L.L.C.'s National Provider Identifier (NPI) is 1316440266, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Avenue Dental Boutique, L.L.C.?
- Park Avenue Dental Boutique, L.L.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Park Avenue Dental Boutique, L.L.C. located?
- Park Avenue Dental Boutique, L.L.C.'s practice location on file with NPPES is 104 E 74th St, New York, NY 10021-3544.
- What is Park Avenue Dental Boutique, L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Park Avenue Dental Boutique, L.L.C. is (212) 369-2202.
- Who is the authorized official for Park Avenue Dental Boutique, L.L.C.?
- The authorized official listed on Park Avenue Dental Boutique, L.L.C.'s NPPES record is Michael Warszawski, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Avenue Dental Boutique, L.L.C.'s NPI active?
- Yes — Park Avenue Dental Boutique, L.L.C.'s NPI (1316440266) is active in the NPPES registry as of the last update on 2018-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.