Provider Demographics
NPI:1104215664
Name:GEORGE PLIAKAS, DDS, MS, PLLC
Entity Type:Organization
Organization Name:GEORGE PLIAKAS, DDS, MS, PLLC
Other - Org Name:CENTRAL PARK ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHODONTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLIAKAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-362-4400
Mailing Address - Street 1:271 CENTRAL PARK W
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3020
Mailing Address - Country:US
Mailing Address - Phone:212-362-4400
Mailing Address - Fax:212-362-4403
Practice Address - Street 1:271 CENTRAL PARK W
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3020
Practice Address - Country:US
Practice Address - Phone:212-362-4400
Practice Address - Fax:212-362-4403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0963121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty