Maxine Dove D.D.S.,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039906 Issued in NY

Legal business name

MAXINE DOVE D.D.S.,PC

Practice address

128 Stevens Ave
1 St Floor
Mt Vernon, NY 10550-2604

Phone

(914) 668-2772

Fax

(914) 668-2657

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Maxine E Dove, DDS

Title

Owner

Phone

(914) 668-2772

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376698431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 STEVENS AVE",
            "address_2": "1 ST FLOOR",
            "city": "MT VERNON",
            "state": "NY",
            "postal_code": "105502604",
            "telephone_number": "914-668-2772",
            "fax_number": "914-668-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 STEVENS AVE",
            "address_2": "1 ST FLOOR",
            "city": "MT VERNON",
            "state": "NY",
            "postal_code": "105502604",
            "telephone_number": "914-668-2772",
            "fax_number": "914-668-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXINE DOVE D.D.S.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOVE",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-668-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monica Esmenda McCalla, FNP
• Christine McCaulay, LPN
• Alan B McCollom, PHD

• General Practice Dentistry in Mt Vernon, NY
• Providers in Mt Vernon, 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 Aug 22, 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.