Provider Demographics
NPI:1659353167
Name:VALAURI, DAVID V (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:V
Last Name:VALAURI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 E 34TH ST
Mailing Address - Street 2:SUITE 1M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4977
Mailing Address - Country:US
Mailing Address - Phone:212-725-4546
Mailing Address - Fax:212-725-4753
Practice Address - Street 1:333 E 34TH ST
Practice Address - Street 2:SUITE 1M
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4977
Practice Address - Country:US
Practice Address - Phone:212-725-4546
Practice Address - Fax:212-725-4753
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0337041223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00913828Medicaid
NYT49373Medicare UPIN