Oral Dental Health Care, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

027576 Issued in NY

Legal business name

ORAL DENTAL HEALTH CARE, PLLC

Practice address

189 Broadway
Newburgh, NY 12550-5587

Phone

(845) 784-4202

NPI assigned

Jul 13, 2016

Last updated

Jul 13, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bohdan George Nychka, DDS

Title

Dentist Owner

Phone

(917) 940-1155

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1053764118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505587",
            "telephone_number": "845-784-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505587",
            "telephone_number": "845-784-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL DENTAL HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "NYCHKA",
        "authorized_official_first_name": "BOHDAN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "917-940-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "027576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Newburgh, NY
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• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.