Soul Dental Chelsea, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

055740 Issued in NY

Legal business name

SOUL DENTAL CHELSEA, P.C.

Practice address

200 W 15TH St
New York, NY 10011-6658

Phone

(516) 852-5386

NPI assigned

Jan 23, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Alexandra Yungelson, DDS

Title

Member

Phone

(516) 852-5386

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1891185252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 15TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116658",
            "telephone_number": "516-852-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL DENTAL CHELSEA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "YUNGELSON",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-852-5386",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "055740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee S Soufer, PHD
• Georges Maxime Souffrant
• Kimberly Terese Souffront, FNP
• Haesun Souh
• Kristen Soukup, LCSW
• Soul Dental West PLLC
• Soul Through Mental Health Counseling PLLC
• Marisol Soula, MD/PHD
• Charles R Soule, PH.D.
• Virginia Gerhart Soules, M.D.

• 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 Apr 9, 2015; 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.