72ND Street Dental Care PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

046056 Issued in NY

Legal business name

72ND STREET DENTAL CARE PLLC

Practice address

200 E 72ND St
1
New York, NY 10021-4537

Phone

(121) 274-4774

Fax

(121) 251-7267

NPI assigned

Jul 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ian Morgan Cantor, DDS

Title

Owner

Phone

(212) 744-7747

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1184030157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 72ND ST",
            "address_2": "1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214537",
            "telephone_number": "121-274-4774",
            "fax_number": "121-251-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 72ND ST",
            "address_2": "1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214537",
            "telephone_number": "121-274-4774",
            "fax_number": "121-251-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "72ND STREET DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "CANTOR",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-744-7747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "046056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 67TH Street OB GYN PLLC
• 67TH Street OB GYN PLLC
• 7 Hills RX Inc
• 71St JD Wellness Inc
• 72 W Acupuncture PC
• 72ND Street Endoscopy Associates PC
• 72ND Street Surgery Realty Corp
• 731 Pharmacy Corp
• 737 Park Avenue Surgery Suite, P.C.
• 737 Park Avenue Surgical Suites, LLC

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.