Active NPI
Bedford Hills Dental P.C.
- Periodontics
- Bedford Hills, NY
National Provider Identifier
1346710241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- BEDFORD HILLS DENTAL P.C.
- Practice address
- 3 Depot PLZ
Bedford Hills, NY 10507-1807 - Phone
- (914) 666-6845
- NPI assigned
- Dec 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marianna Jovanovich
- Title
- Periodontist
- Phone
- (914) 666-6845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | Primary |
Addresses
Primary practice location
3 Depot PLZ
Bedford Hills, NY 10507-1807
Mailing address
3 Depot PLZ
Bedford Hills, NY 10507-1807
Phone (914) 666-6845
National Provider Directory
National Provider DirectoryLocations
3 Depot Plz
Bedford Hills, NY 10507
Phone (914) 666-6845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543881600000",
"number": "1346710241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 DEPOT PLZ",
"city": "BEDFORD HILLS",
"state": "NY",
"postal_code": "105071807",
"telephone_number": "914-666-6845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 DEPOT PLZ",
"city": "BEDFORD HILLS",
"state": "NY",
"postal_code": "105071807",
"telephone_number": "914-666-6845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEDFORD HILLS DENTAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-04",
"last_updated": "2018-12-04",
"status": "A",
"authorized_official_last_name": "JOVANOVICH",
"authorized_official_first_name": "MARIANNA",
"authorized_official_title_or_position": "PERIODONTIST",
"authorized_official_telephone_number": "914-666-6845",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.