OrganizationActive
Periodontics of New York, PLLC
NPI 1992504856 · Dental Clinic/Center · New York, NY
Periodontics of New York, PLLC is a Dental Clinic/Center organization in New York, NY (NPI 1992504856).
Provider details
- NPI number
- 1992504856
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Philip Pack, Owner(212) 683-4476
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
30 E 40th St Rm 1102
New York, NY 10016-1204
Phone: (212) 683-4476
Fax: (212) 683-4577
Street-level locationGet directions
Mailing address
30 E 40th St Rm 1102
New York, NY 10016-1204
Other names (DBA / former)
- Former legal business name
- Philip D Pack, DMD
Registry dates
- Enumerated
- 2025-03-12
- Last updated
- 2025-03-12
- Certified
- 2025-03-12
Frequently asked questions
- What is Periodontics of New York, PLLC's NPI number?
- Periodontics of New York, PLLC's National Provider Identifier (NPI) is 1992504856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontics of New York, PLLC?
- Periodontics of New York, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Periodontics of New York, PLLC located?
- Periodontics of New York, PLLC's practice location on file with NPPES is 30 E 40th St Rm 1102, New York, NY 10016-1204.
- What is Periodontics of New York, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Periodontics of New York, PLLC is (212) 683-4476.
- Who is the authorized official for Periodontics of New York, PLLC?
- The authorized official listed on Periodontics of New York, PLLC's NPPES record is Philip Pack, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontics of New York, PLLC's NPI active?
- Yes — Periodontics of New York, PLLC's NPI (1992504856) is active in the NPPES registry as of the last update on 2025-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.