Provider Demographics
NPI:1225428337
Name:DENTAL CENTER MANAGEMENT INC
Entity Type:Organization
Organization Name:DENTAL CENTER MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MYLES
Authorized Official - Middle Name:L
Authorized Official - Last Name:SOKOLOF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-773-1500
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-0007
Mailing Address - Country:US
Mailing Address - Phone:914-773-1500
Mailing Address - Fax:
Practice Address - Street 1:12 MARBLE AVE
Practice Address - Street 2:
Practice Address - City:THORNWOOD
Practice Address - State:NY
Practice Address - Zip Code:10594-1073
Practice Address - Country:US
Practice Address - Phone:914-773-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty