OrganizationActive
125th Street Dental LLP
NPI 1861523771 · General Practice Dentistry · New York, NY
Provider details
- NPI number
- 1861523771
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Serguei Kopetskov, President
- License
- 049097 (NY)
Practice location
437 W 125th St
New York, NY 10027-4201
Phone: (646) 827-9819
Fax: (646) 827-0510
Mailing address
437 W 125th St
New York, NY 10027-4201
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.