| Mmc Dental | |
|
111 E 210th St Mmc Dental Bronx NY 10467-2401 | |
| (718) 920-4167 | |
| Not Available |
| Full Name | Mmc Dental |
|---|---|
| Speciality | Dentist |
| Location | 111 E 210th St, Bronx, New York |
| Authorized Official Name and Position | Michael Dowling (DIRECTOR OF PROVIDER SERVICES AND N) |
| Authorized Official Contact | 9143774668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmc Dental 111 E 210th St Mmc Dental Bronx NY 10467-2401 Ph: (718) 920-4167 | Mmc Dental 111 E 210th St Mmc Dental Bronx NY 10467-2401 Ph: (718) 920-4167 |
| NPI Number | 1275710519 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 07/23/2009 |
| Medicare PECOS PAC ID | 3779496021 |
|---|---|
| Medicare Enrollment ID | O20121113000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275710519 | NPI | - | NPPES |
| Provider Name | Isabel Garcia |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750460390 PECOS PAC ID: 3072404326 Enrollment ID: I20040417000500 |
| Provider Name | Jairo A Bastidas |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1780763300 PECOS PAC ID: 6709864317 Enrollment ID: I20040710000019 |
| Provider Name | Mauricio J Wiltz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760485247 PECOS PAC ID: 7315990967 Enrollment ID: I20050223000952 |
| Provider Name | Robert D Kelsch |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972505493 PECOS PAC ID: 7618162140 Enrollment ID: I20101110000859 |
| Provider Name | Kenneth S Kurtz |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1063581171 PECOS PAC ID: 9537334677 Enrollment ID: I20111219000544 |
| Provider Name | Patrick J Nolan |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1063743458 PECOS PAC ID: 8921245325 Enrollment ID: I20130502000081 |
| Provider Name | Thomas E Helfst |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1073568556 PECOS PAC ID: 1052364759 Enrollment ID: I20210212000787 |
| Provider Name | Stuart Graber |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528280948 PECOS PAC ID: 0547507956 Enrollment ID: I20211013001387 |
| Provider Name | Sunil B Desai |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942363957 PECOS PAC ID: 0446552400 Enrollment ID: I20220929000850 |
| Provider Name | Alexa Schweitzer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548824485 PECOS PAC ID: 1850763889 Enrollment ID: I20230221000202 |
| Provider Name | Lauren B Yadlosky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629567110 PECOS PAC ID: 6608260690 Enrollment ID: I20231004002412 |
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