Jocelyn F Mendoza, DMD
Individual provider Active NPI General Practice Dentistry · Nyc, NY
NPI 1497870752 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497870752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 047494 (NY)
- Practice address
- 110 West 34TH St #1203
Nyc, NY 10001-2115 - Phone
- (121) 294-7641
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047494 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Seasons Dental Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 047494 | NY | Yes |
Addresses
Primary practice location
110 West 34TH St #1203
Nyc, NY 10001-2115
Mailing address
110 West 34TH St #1203
Nyc, NY 10001-2115
Phone (121) 294-7641
Other providers in Nyc, NY
- MCC-Ny
- Maureen Eileen McGovern
- Harriet E McGurk
- Aliza Mendel
- Simon Grecel Mendez Bustamante
- Metro Physical Therapy
- Michael S. Goodman, DDS, PC
- Rosemary Milian
- Carl Nelke
- Ellen Nelson
All providers in Nyc, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.