Excellent Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

License

046374 Issued in NY

Legal business name

EXCELLENT DENTAL INC

Practice address

1197 River Ave
Bronx, NY 10452-8005

Phone

(718) 681-0020

Fax

(718) 681-6373

NPI assigned

Feb 3, 2016

Last updated

Feb 3, 2016By 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. Syed Monzurul Ali, DDSNPI 1942412218

Title

President

Phone

(718) 681-0020

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.

• Syed Monzurul Ali, DDS

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1942412218
  NPD (past) Authorized official

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1518325703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 RIVER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528005",
            "telephone_number": "718-681-0020",
            "fax_number": "718-681-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 RIVER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528005",
            "telephone_number": "718-681-0020",
            "fax_number": "718-681-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "MONZURUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-681-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bronx, NY
• Providers in Bronx, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.