Clinton Street Dental PLLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

CLINTON STREET DENTAL PLLC

Practice address

139 Clinton St
Ste 1
Brooklyn, NY 11201

Phone

(718) 625-6437

NPI assigned

Oct 19, 2020

Organization subpart

No

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

Authorized official

Name

Eleanor Reid, DMDNPI 1174732341

Title

Owner

Phone

(718) 625-6437

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eleanor Lisa Reid, DMD

  • Prosthodontics
  • New York, NY
  • NPI 1174732341
  NPD Authorized official

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1194324400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CLINTON ST",
            "address_2": "STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CLINTON ST",
            "address_2": "STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-625-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON STREET DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-625-6437",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Shay Cline
• Clinic O Incorporated
• Clinical Monitoring Service
• Clinical Staffing Resources Corp.
• Clinton Hill Counseling
• Clinton Street Nutrition PLLC
• Jamillia Clinton, BCBA
• Marianne Clinton, M.D.
• Raven Eastoria Clinton, MFT
• Roger Leonard Clinton I, LMSW

• Prosthodontics in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.