MK Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040159 Issued in NY

Legal business name

MK DENTAL PC

Practice address

1663 Central Park Ave
Yonkers, NY 10710-4901

Phone

(914) 779-1211

Fax

(914) 779-9486

NPI assigned

May 12, 2010

Last updated

May 12, 2010By 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. Marc P Kaufman, DDSNPI 1922077957

Title

President

Phone

(914) 962-6444

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, and the practitioner matching its NPPES authorized official.

• Marc P Kaufman, DDS

  • General Practice Dentistry
  • Jefferson Valley, NY
  • NPI 1922077957
  NPD (past) Authorized official

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1366760597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 HILL BLVD",
            "address_2": "SUITE 306",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351502",
            "telephone_number": "914-962-6444",
            "fax_number": "914-962-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 CENTRAL PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107104901",
            "telephone_number": "914-779-1211",
            "fax_number": "914-779-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-962-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike Miron, MD
• Kavi Misrilall
• Denise Michele Mitchell, DSW, LMSW
• Diane A Mitchell, R.N.
• Pearl Mitter
• MMC at 6 Executive Plaza
• MMC at 6 Executive Plaza
• MMC Cross County Practice
• MMC Cross County Practice
• MMC Cross County Practice at Xavier

• General Practice Dentistry in Yonkers, NY
• Providers in Yonkers, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.