| Platinum Dental | |
|
65 Broadway Ste 408 New York NY 10006-2546 | |
| (212) 430-3888 | |
| (212) 430-3889 |
| Full Name | Platinum Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 65 Broadway Ste 408, New York, New York |
| Authorized Official Name and Position | Alexander Heifitz (PRESIDENT) |
| Authorized Official Contact | 2124303888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Dental 65 Broadway Suite 408 New York NY 10006-2546 Ph: (212) 430-3888 | Platinum Dental 65 Broadway Ste 408 New York NY 10006-2546 Ph: (212) 430-3888 |
| NPI Number | 1831203199 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831203199 | NPI | - | NPPES |
| 0471301 | Other | LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0471301 (New York) | Primary |
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