| Times Square Dental | |
|
1485 1st Ave New York NY 10075-1363 | |
| (212) 535-4199 | |
| (212) 472-9551 |
| Full Name | Times Square Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1485 1st Ave, New York, New York |
| Authorized Official Name and Position | Ramji D Sethi (OWNER) |
| Authorized Official Contact | 9173597377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Times Square Dental 317 Madison Ave Suite 1520 New York NY 10017-5201 Ph: (212) 256-0200 | Times Square Dental 1485 1st Ave New York NY 10075-1363 Ph: (212) 535-4199 |
| NPI Number | 1972887446 |
|---|---|
| Provider Enumeration Date | 10/03/2011 |
| Last Update Date | 10/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972887446 | NPI | - | NPPES |
| 0303439 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 033324 (New York) | Primary |
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