Bronx Queens Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046039 Issued in NY

Legal business name

BRONX QUEENS DENTAL CARE PC

Practice address

780 E Tremont Ave
Bronx, NY 10460

Phone

(718) 731-6176

Fax

(718) 583-3506

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

MM Abdur Rob, DDS

Title

Owner Dentist

Phone

(718) 731-6176

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1770657306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-731-6176",
            "fax_number": "718-583-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-731-6176",
            "fax_number": "718-583-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX QUEENS DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "ROB",
        "authorized_official_first_name": "MM",
        "authorized_official_middle_name": "ABDUR",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "718-731-6176",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01590330",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Bronx, NY
• Providers in Bronx, 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 Jun 25, 2014; 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.