Mda Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

040754-1 Issued in NY

Legal business name

MDA DENTAL GROUP

Practice address

1995 Broadway Ste 200
New York, NY 10023-5882

Phone

(212) 247-2330

NPI assigned

Dec 26, 2012

Organization subpart

No

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

Authorized official

Name

Marc Mordecai Liechtung

Title

Owner

Phone

(212) 247-2330

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.

• Mordecia Marc Liechtung, DMD

  • General Practice Dentistry
  • New York, NY
  • NPI 1679774798
  NPD (past)

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1619213436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 BROADWAY STE 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235882",
            "telephone_number": "212-247-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 BROADWAY STE 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235882",
            "telephone_number": "212-247-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "LIECHTUNG",
        "authorized_official_first_name": "MARC MORDECAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-247-2330"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "040754-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Edelen McWilliams, LMSW
• Megan Diminich McWilliams, PA
• Ashley R McZeal, DDS
• MD Links Corporation
• Fnu MD Ziauddin
• Mda Management Inc
• MDB Home Care LLC
• MDB Home Care LLC
• MDP Optometry PC
• MDS Optometry and Ophthalmic Dispensing PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.