Provider Demographics
NPI:1164979639
Name:PARKCHESTER DENTAL GROUP, LLP
Entity Type:Organization
Organization Name:PARKCHESTER DENTAL GROUP, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANDOR
Authorized Official - Middle Name:
Authorized Official - Last Name:HALPERT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-821-6464
Mailing Address - Street 1:7 HUGH J GRANT CIR
Mailing Address - Street 2:#1
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-4530
Mailing Address - Country:US
Mailing Address - Phone:718-792-0137
Mailing Address - Fax:
Practice Address - Street 1:7 HUGH J GRANT CIR
Practice Address - Street 2:#1
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-4530
Practice Address - Country:US
Practice Address - Phone:718-792-0137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty