Illustradent Midtown Dental Services, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50-052167 Issued in NY

Legal business name

ILLUSTRADENT MIDTOWN DENTAL SERVICES, PLLC

Practice address

358 5TH Ave
Suite 407
New York, NY 10001-2209

Phone

(212) 244-4700

NPI assigned

Aug 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Joseph Pilavsky, DDS

Title

Owner

Phone

(212) 244-4700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1902052673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 5TH AVE",
            "address_2": "SUITE 407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012209",
            "telephone_number": "212-244-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 5TH AVE",
            "address_2": "SUITE 407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012209",
            "telephone_number": "212-244-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUSTRADENT MIDTOWN DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "PILAVSKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-244-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50-052167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Veltri Illien, RD
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• June Ilowite
• David H Ilson, MD

• 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 Aug 13, 2008; 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.