Provider Demographics
NPI:1982168936
Name:ORS DENTAL GROUP PLLC
Entity Type:Organization
Organization Name:ORS DENTAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:646-930-4606
Mailing Address - Street 1:59 EAST 54TH STREET
Mailing Address - Street 2:PHF
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:646-930-4606
Mailing Address - Fax:646-930-4055
Practice Address - Street 1:59 EAST 54TH STREET
Practice Address - Street 2:PHF
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:646-930-4606
Practice Address - Fax:646-930-4055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No122300000XDental ProvidersDentistGroup - Multi-Specialty