Aesthetic Creations Dental, P.L.L.C.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

052746 Issued in NY

Legal business name

AESTHETIC CREATIONS DENTAL, P.L.L.C.

Practice address

509 Madison Ave
Suite 702
New York, NY 10022-5501

Phone

(212) 688-0103

NPI assigned

Sep 22, 2008

Last updated

Sep 22, 2008By 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. Stella Kyung-Seok Oh, D.D.S.NPI 1023207727

Title

President

Phone

(646) 382-8443

Specialties & licenses 2

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.

• Stella Kyung Seok Oh, D.D.S.

  • Prosthodontics
  • Oradell, NJ
  • NPI 1023207727
  NPD (past) Authorized official

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1578713087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E 30TH ST",
            "address_2": "#16A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167300",
            "telephone_number": "646-382-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MADISON AVE",
            "address_2": "SUITE 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225501",
            "telephone_number": "212-688-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC CREATIONS DENTAL, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "KYUNG-SEOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-382-8443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052746",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "052746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aetna Better Health Inc.
• Aetna Health Inc. (Ny)

• Prosthodontics in New York, NY
• Providers in New York, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.