Provider Demographics
NPI:1770383192
Name:10 WEST 46TH STREET DENTAL PLLC
Entity type:Organization
Organization Name:10 WEST 46TH STREET DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEMPNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-752-1252
Mailing Address - Street 1:10 W 46TH ST STE 1402
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4515
Mailing Address - Country:US
Mailing Address - Phone:212-752-1252
Mailing Address - Fax:
Practice Address - Street 1:10 W 46TH ST STE 1402
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4515
Practice Address - Country:US
Practice Address - Phone:212-752-1252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty