DR. EDLY DESTINE


Address: 88 W Lincoln Ave Ste 102, Mount Vernon, NY 10550-1181
Phone: 1469969889

DR. EDLY DESTINE (NPI# 1326387341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326387341
Entity Type Individual
Full Name DR. EDLY DESTINE
Credential DDS
Practice Address 88 W Lincoln Ave Ste 102
Mount Vernon
NY 10550-1181
Practice Telephone 1469969889
Mailing Telephone 9146996988
Enumeration Date 2013-02-11
Last Update Date 2018-11-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
057473 NY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 04140667 05

Office Location

Street Address 88 W LINCOLN AVE STE 102
City MOUNT VERNON
State NY
Zip Code 10550-1181

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487240 Jacqueline Marshall Technician 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 2020-05-05
1023529369 B.t.m. Psychiatric Np Services, Pllc Nurse Practitioner 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 2017-10-13
1669994174 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 500 E Sanford Blvd, Mount Vernon, NY 10550 2017-07-17
1053869198 Teresa Turriago I Social Worker 487 S. Broadway, Yonkers, New York, NY 10550 2016-09-19
1811340862 Marcia Samuels Nembhard Licensed Practical Nurse 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 2016-07-14
1043665318 Marshalee Mullings Registered Nurse 70 E 4th Street, 2c, Mount Vernon, NY 10550 2016-04-25
1518333228 Humanities Medical Supplies Inc Durable Medical Equipment & Medical Supplies 100 Stevens Avenue, Mount Vernon, NY 10550 2015-08-17
1851779458 Maila Catolico Registered Nurse 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 2015-05-14
1003203266 Priscilla A. Severe Registered Nurse 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 2015-04-24
1477963254 Imani Ife Campbell Licensed Practical Nurse 323 South 10th Ave, Mt. Vernon, NY 10550 2014-05-02
Find all providers in zip 10550

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467003160 Elevation Dental Studio, Dmd, P.C. Dentist 545 Gramatan Ave Unit B, Mount Vernon, NY 10552-2103 2019-09-24
1659927515 Manogna Deepthi Yakasiri Dentist 4201 Broadway St Ste C, Mount Vernon, IL 62864-2282 2019-08-15
1982263463 Graham Whinery Dentist 908 Highway 37, Mount Vernon, TX 75457-4500 2019-06-10
1184197386 Rockcastle County Hospital, Inc. Dentist 75 Newcomb Ave, Mount Vernon, KY 40456-2732 2019-01-10
1346739430 Broadway Smiles Dental PC Dentist 105 Stevens Ave Ste 302, Mount Vernon, NY 10550-2680 2018-05-04
1629468566 Franklin Dentistry Associates Pa Dentist 908 Texas Highway 37, Mount Vernon, TX 75457-4500 2015-01-30
1114262847 Cross Creek Dental Care - Mount Vernon,llc Dentist 214 E Chestnut St, Mount Vernon, OH 43050-3447 2012-12-06
1104142918 David Keith Uebelhack Dentist 803 East Fourth St., Mount Vernon, IN 47620-0673 2010-04-19
1821324112 Associates In Dentistry LLC Dentist 940 W Main St Unit A, Mount Vernon, KY 40456-2518 2009-10-21
1205089232 Gentle Dentistry Dentist 2100 E Section St Ste 101, Mount Vernon, WA 98274-9132 2008-11-04
Find all providers in MOUNT VERNON

Competitor

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City MOUNT VERNON
Zip Code 10550

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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