| Radiance Dental P.c. | |
|
455 Central Park Ave Suite 309 Scarsdale NY 10583-1060 | |
| (914) 309-7922 | |
| Not Available |
| Full Name | Radiance Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 455 Central Park Ave, Scarsdale, New York |
| Authorized Official Name and Position | Madelon Ruth Murphy (CEO) |
| Authorized Official Contact | 9143097922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiance Dental P.c. 455 Central Park Ave Suite 309 Scarsdale NY 10583-1060 Ph: () - | Radiance Dental P.c. 455 Central Park Ave Suite 309 Scarsdale NY 10583-1060 Ph: (914) 309-7922 |
| NPI Number | 1437336997 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 06/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437336997 | NPI | - | NPPES |
| 1376533125 | Other | NY | NPI TYPE 1 |
| 01433632 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 043027-1 (New York) | Primary |
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