Illustradent Yonkers Dental Services PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052858 Issued in NY

Legal business name

ILLUSTRADENT YONKERS DENTAL SERVICES PLLC

Doing business as

Westchester Dental Services

Practice address

1730 Central Park Ave
Suite 2R
Yonkers, NY 10710-4905

Phone

(914) 793-8700

Fax

(914) 395-0101

NPI assigned

Feb 21, 2014

Organization subpart

No

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

Authorized official

Name

Mara Rosenberg

Title

Member

Phone

(914) 793-8700

Specialties & licenses 1

Addresses

Other names 1

• Westchester Dental Services Doing business as

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1811312275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 CENTRAL PARK AVE",
            "address_2": "SUITE 2R",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107104905",
            "telephone_number": "914-793-8700",
            "fax_number": "914-395-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 CENTRAL PARK AVE",
            "address_2": "SUITE 2R",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107104905",
            "telephone_number": "914-793-8700",
            "fax_number": "914-395-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUSTRADENT YONKERS DENTAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "MARA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "914-793-8700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westchester Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Iheagwara, N.P.
• John D Ilario, M.D.
• Teresita Sorilla Ilas, REGISTERED NURSE
• Illustradent Westchester Dental Services, PLLC
• Illustradent Westchester Dental Services, PLLC
• Ilovenewyorktransportation
• Ilya Ilyayev
• Immunization Medical Services PC
• Inclusive Links Inc
• Independent Care Transportation Servise,Inc

• General Practice Dentistry in Yonkers, NY
• Providers in Yonkers, 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 Feb 21, 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.