Provider Demographics
NPI:1508385956
Name:MARVIN DUBIN DDS AND ARTEMUS TSANG DDS, PC
Entity Type:Organization
Organization Name:MARVIN DUBIN DDS AND ARTEMUS TSANG DDS, PC
Other - Org Name:DUBIN AND TSANG DDS, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTEMUS
Authorized Official - Middle Name:
Authorized Official - Last Name:TSANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-242-7100
Mailing Address - Street 1:83 S BEDFORD RD STE 304
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3429
Mailing Address - Country:US
Mailing Address - Phone:917-242-7100
Mailing Address - Fax:914-242-7131
Practice Address - Street 1:83 S BEDFORD RD STE 304
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3429
Practice Address - Country:US
Practice Address - Phone:917-242-7100
Practice Address - Fax:914-242-7131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050585122300000X
NY042120122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1679664767OtherNPI
1508908625OtherNPI