Upper Westside Deantal - Dental Clinic in New York, NY

Upper Westside Deantal is a dental clinic (Dentist - General Practice) in New York, New York. The current practice location for Upper Westside Deantal is 992 Columbus Ave, New York, New York. For appointments, you can reach them via phone at (917) 667-6015. The mailing address for Upper Westside Deantal is 992 Columbus Ave, New York, New York and phone number is (917) 667-6015.

Upper Westside Deantal is licensed to practice in New York (license number 0543381) and its NPI number is 1073897609. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (917) 667-6015.

Contact Information

Upper Westside Deantal
992 Columbus Ave
New York
NY 10025-2501
(917) 667-6015
Not Available

Dental Care Clinic Profile

Full NameUpper Westside Deantal
SpecialityDentist - General Practice
Location992 Columbus Ave, New York, New York
Authorized Official Name and PositionBenjamin Banneker Shirley (DENTIST)
Authorized Official Contact9176676015
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Upper Westside Deantal
992 Columbus Ave
New York
NY 10025-2501

Ph: (917) 667-6015
Upper Westside Deantal
992 Columbus Ave
New York
NY 10025-2501

Ph: (917) 667-6015

NPI Details:

NPI Number1073897609
Provider Enumeration Date09/30/2011
Last Update Date09/30/2011

Medical Identifiers

Medical identifiers for Upper Westside Deantal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073897609NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 0543381 (New York)Primary

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