Active NPI
Marvel Smiles Yorktown Dental PLLC
Doing business as Creating Dental Excellence Yorktown
- General Practice Dentistry
- Yorktown Heights, NY
National Provider Identifier
1477303147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MARVEL SMILES YORKTOWN DENTAL PLLC
- Doing business as
- Creating Dental Excellence Yorktown
- Practice address
- 1940 Commerce St Ste 202
Yorktown Heights, NY 10598-4447 - Phone
- (914) 243-7373
- NPI assigned
- Mar 25, 2024
- 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
- Mr. Anurag Harsh
- Title
- Ceo
- Phone
- (212) 220-3333
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Periodontics | 1223P0300X | |||
| Dental Hygienist | 124Q00000X | |||
| Dental Assistant | 126800000X |
Addresses
Primary practice location
1940 Commerce St Ste 202
Yorktown Heights, NY 10598-4447
Mailing address
388A Undercliff Ave
Edgewater, NJ 07020-7251
Phone (212) 220-3333
Other names 1
- CREATING DENTAL EXCELLENCE YORKTOWN
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Yorktown Heights, NY
- NPI 1194974584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1477303147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388A UNDERCLIFF AVE",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070207251",
"telephone_number": "212-220-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 COMMERCE ST STE 202",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105984447",
"telephone_number": "914-243-7373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARVEL SMILES YORKTOWN DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A",
"authorized_official_last_name": "HARSH",
"authorized_official_first_name": "ANURAG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "212-220-3333",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
},
{
"code": "126800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CREATING DENTAL EXCELLENCE YORKTOWN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.