| Concourse Plaza Family Dental Llc | |
|
230 E 161st St Bronx NY 10451-3546 | |
| (718) 992-8200 | |
| (718) 537-4169 |
| Full Name | Concourse Plaza Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 230 E 161st St, Bronx, New York |
| Authorized Official Name and Position | Godrick Allister Taylor (OWNER) |
| Authorized Official Contact | 3472043362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concourse Plaza Family Dental Llc 230 E 161st St Bronx NY 10451-3546 Ph: (718) 992-8200 | Concourse Plaza Family Dental Llc 230 E 161st St Bronx NY 10451-3546 Ph: (718) 992-8200 |
| NPI Number | 1417325382 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 09/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417325382 | NPI | - | NPPES |
| 02677278 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 052071 (New York) | Primary |
Dc Dental Office, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2925 Grand Concourse, Suite 1a, Bronx, NY 10468 Phone: 718-329-4111 Fax: 718-329-1614 | |
Smile Savers Orthodo Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Bartow Ave, 218, Bronx, NY 10475 Phone: 718-708-6323 | |
Coop Citydental Associates Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2063b Bartow Ave, Bronx, NY 10475 Phone: 718-379-4734 Fax: 718-379-6487 | |
Montefiore Dental Department Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 Jarret Pl, Bronx, NY 10461 Phone: 888-700-6623 Fax: 718-515-5419 | |
Sireci Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2861 Bruckner Blvd, Bronx, NY 10465 Phone: 718-829-0455 Fax: 718-829-0825 | |
Pradhan And Pradhan Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 White Plains Rd, Bronx, NY 10466 Phone: 718-652-6622 | |
Right Family Dental P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2665 Grand Concourse, Bronx, NY 10468 Phone: 718-365-8660 |