Wall Street Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039376 Issued in NY

Legal business name

WALL STREET DENTAL CARE PC

Doing business as

NYC Oral Surgery

Practice address

111 Broadway
Suite #1706
New York, NY 10006-1901

Phone

(212) 227-9555

Fax

(212) 227-9557

NPI assigned

Oct 28, 2013

Organization subpart

No

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

Authorized official

Name

Gary Nadler, DDS

Title

Owner

Phone

(212) 227-9555

Specialties & licenses 1

Addresses

Other names 1

• NYC Oral Surgery Doing business as

Locations

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1699103853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 1ST AVE",
            "address_2": "#393",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222991",
            "telephone_number": "212-227-9555",
            "fax_number": "212-227-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROADWAY",
            "address_2": "SUITE #1706",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061901",
            "telephone_number": "212-227-9555",
            "fax_number": "212-227-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL STREET DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "NADLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-227-9555",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYC Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.