Green Dentistry, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

020303 Issued in NY

Legal business name

GREEN DENTISTRY, P.C.

Doing business as

Quality Dental Care

Practice address

211 W 79TH St
New York, NY 10024-6224

Phone

(212) 799-7700

Fax

(212) 874-5915

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Hilary A. Kaufman, MA

Title

Administrator

Phone

(212) 799-7700

Specialties & licenses 1

Addresses

Other names 1

• Quality Dental Care Doing business as

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407946353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246224",
            "telephone_number": "212-799-7700",
            "fax_number": "212-874-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246224",
            "telephone_number": "212-799-7700",
            "fax_number": "212-874-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "212-799-7700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "020303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in New York, NY
• Providers in New York, 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.