Provider Demographics
NPI:1124037403
Name:KENNETH W. ASCHHEIM DDS AND YAKIR ARTEAGA, DDS PC
Entity Type:Organization
Organization Name:KENNETH W. ASCHHEIM DDS AND YAKIR ARTEAGA, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ASCHHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-988-2955
Mailing Address - Street 1:44 E 67TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6135
Mailing Address - Country:US
Mailing Address - Phone:212-988-2955
Mailing Address - Fax:212-988-2955
Practice Address - Street 1:44 E 67TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6135
Practice Address - Country:US
Practice Address - Phone:212-988-2955
Practice Address - Fax:212-988-2955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty