Provider Demographics
NPI:1679693758
Name:BINDER, DAVID S (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:BINDER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:MANHATTAN DENTIST
Other - Middle Name:
Other - Last Name:DAVID S. BINDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:551 5TH AVE
Mailing Address - Street 2:SUITE 1114
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10176-0001
Mailing Address - Country:US
Mailing Address - Phone:212-867-2730
Mailing Address - Fax:
Practice Address - Street 1:551 5TH AVE
Practice Address - Street 2:SUITE 1114
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10176-0001
Practice Address - Country:US
Practice Address - Phone:212-867-2730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY380991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6528120001Medicare NSC