Provider Demographics
NPI:1275104275
Name:CAREMOUNT DENTAL PLLC
Entity Type:Organization
Organization Name:CAREMOUNT DENTAL PLLC
Other - Org Name:CARE MOUNT DENTAL, PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:RCM
Authorized Official - Prefix:
Authorized Official - First Name:NATALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOROBEYNYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-654-4400
Mailing Address - Street 1:3333 NEW HYDE PARK RD STE 310
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1205
Mailing Address - Country:US
Mailing Address - Phone:516-654-4400
Mailing Address - Fax:
Practice Address - Street 1:657 E MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3424
Practice Address - Country:US
Practice Address - Phone:516-654-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREMOUNT DENTAL, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-09
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No122300000XDental ProvidersDentistGroup - Multi-Specialty