P Pradhan DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

P PRADHAN DDS PLLC

Doing business as

Ivory Dental Caee

Practice address

436 S Broadway # a
Yonkers, NY 10705-2339

Phone

(914) 968-3330

Fax

(914) 457-3960

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Prasannata Pradhan, DDSNPI 1124544325

Title

General Dentist

Phone

(914) 968-3330

Specialties & licenses 1

Addresses

Other names 1

• Ivory Dental Caee Doing business as

Locations

Practitioners 1

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

• Prasannata Pradhan, DDS

  • General Practice Dentistry
  • Jersey City, NJ
  • NPI 1124544325
  NPD Authorized official

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1285460212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 S BROADWAY # A",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052339",
            "telephone_number": "914-968-3330",
            "fax_number": "914-457-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 S BROADWAY # A",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052339",
            "telephone_number": "914-968-3330",
            "fax_number": "914-457-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P PRADHAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "PRADHAN",
        "authorized_official_first_name": "PRASANNATA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "914-968-3330",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivory Dental Caee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adelaide Owusu Barimah
• Daniel Owusu-Ansah, FNP
• Deborah Agyeiwaah Owusu, LPN
• Mobolaji Oyekola, RN
• Oz Transportation and Logistics Inc.
• Catherine Rose Paccione, AGPCNP-BC
• Elisa S. Pacewicz, M.S.
• Allen Packer, DPM
• Laura Paddyfote, MS EDU
• Christy Rose Padilla

• Dental Clinic/Center in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.