OrganizationActive
4th Avenue Dental PC
NPI 1356580914 · General Practice Dentistry · Mount Vernon, NY
4th Avenue Dental PC is a General Practice Dentistry organization in Mount Vernon, NY (NPI 1356580914).
Provider details
- NPI number
- 1356580914
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Haresh Shah, President(914) 664-5342
- License
- 036630 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
157 S 4th Ave
Mount Vernon, NY 10550-3106
Phone: (914) 664-5342
Fax: (718) 275-3049
Street-level locationGet directions
Mailing address
11033 64th Ave
Forest Hills, NY 11375-1428
Registry dates
- Enumerated
- 2009-02-05
- Last updated
- 2009-02-05
Frequently asked questions
- What is 4th Avenue Dental PC's NPI number?
- 4th Avenue Dental PC's National Provider Identifier (NPI) is 1356580914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 4th Avenue Dental PC?
- 4th Avenue Dental PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is 4th Avenue Dental PC located?
- 4th Avenue Dental PC's practice location on file with NPPES is 157 S 4th Ave, Mount Vernon, NY 10550-3106.
- What is 4th Avenue Dental PC's phone number?
- The practice phone number listed in the NPPES registry for 4th Avenue Dental PC is (914) 664-5342.
- Who is the authorized official for 4th Avenue Dental PC?
- The authorized official listed on 4th Avenue Dental PC's NPPES record is Haresh Shah, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 4th Avenue Dental PC's NPI active?
- Yes — 4th Avenue Dental PC's NPI (1356580914) is active in the NPPES registry as of the last update on 2009-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.