SH Gentle Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

052971 Issued in NY

Legal business name

SH GENTLE DENTAL PC

Practice address

693 Columbus Ave
New York, NY 10025-7001

Phone

(212) 410-6969

Fax

(212) 410-6989

NPI assigned

Jun 27, 2013

Organization subpart

No

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

Authorized official

Name

Shaul Hubscher, DDS

Title

President

Phone

(212) 410-6969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1972943504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257001",
            "telephone_number": "212-410-6969",
            "fax_number": "212-410-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257001",
            "telephone_number": "212-410-6969",
            "fax_number": "212-410-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH GENTLE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "HUBSCHER",
        "authorized_official_first_name": "SHAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-410-6969",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 27, 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.