| Madison Dental Group Pc | |
|
515 Madison Ave Suite 3900 New York NY 10022-5403 | |
| (212) 935-9300 | |
| (212) 644-2062 |
| Full Name | Madison Dental Group Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 515 Madison Ave, New York, New York |
| Authorized Official Name and Position | George D Reskakis (OWNER/DENTIST) |
| Authorized Official Contact | 2129359300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Dental Group Pc 515 Madison Ave Suite 3900 New York NY 10022-5403 Ph: (212) 935-9300 | Madison Dental Group Pc 515 Madison Ave Suite 3900 New York NY 10022-5403 Ph: (212) 935-9300 |
| NPI Number | 1073530093 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073530093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001674 (New York) | Primary |
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