Provider Demographics
NPI:1356003412
Name:EAST 52ND DENTISTRY
Entity Type:Organization
Organization Name:EAST 52ND DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-406-1501
Mailing Address - Street 1:16 E 52ND ST STE 1001
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5347
Mailing Address - Country:US
Mailing Address - Phone:212-686-3953
Mailing Address - Fax:
Practice Address - Street 1:16 E 52ND ST STE 1001
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5347
Practice Address - Country:US
Practice Address - Phone:212-686-3953
Practice Address - Fax:347-579-0047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental