PREMIER ORAL SURGERY, PLLC (NPI# 1538420385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538420385 |
| Entity Type | Organization |
| Organization Name | PREMIER ORAL SURGERY, PLLC |
| Practice Address |
3370 Baychester Ave Bronx NY 10475-1565 |
| Practice Telephone | 7186712826 |
| Practice Fax Number | 7186712824 |
| Mailing Telephone | 7186712826 |
| Mailing Fax Number | 7186712824 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |
| Authorized Official Name | CATRINA MIDDLETON (BILLER) |
| Authorized Official Telephone | 7186712826 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
045325 | NY | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
043454 | NY | Ambulatory Health Care Facilities |
| Street Address |
3370 BAYCHESTER AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10475-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568517431 | Mohammad Kazem Sadeghi | Dentist | 3370 Baychester Ave, Bronx, NY 10475-1565 | 2007-01-23 |
| 1730440587 | Optimum Dental Care, LLC | Clinic/Center | 3370 Baychester Ave, Bronx, NY 10475-1565 | 2012-06-07 |
| 1770710147 | Krista Justine Mckenzie | Dentist | 3370 Baychester Ave, Bronx, NY 10475-1565 | 2009-06-12 |
| 1245444637 | Craig Smith | Dentist | 3370 Baychester Ave, Bronx, NY 10475-1565 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973048 | Sharon Antoinette Hall | Registered Nurse | 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 | 2019-07-11 |
| 1265912042 | Bartow Pharmacy Inc. | Pharmacy | 500-5 Baychester Ave. Store #5, Bronx, NY 10475 | 2018-08-21 |
| 1518465996 | Jacqueline Caraballo | Nurse Practitioner | 100 De Kruif Place Apt 27h, Bronx, NY 10475 | 2018-01-31 |
| 1093227142 | Rachel Obeng Mireku | Licensed Practical Nurse | 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 | 2017-10-30 |
| 1023534518 | Nelson Merritt Hall | Chiropractor | 2100 Bartow Ave, Ste #227, Bronx, NY 10475 | 2017-08-17 |
| 1245769363 | Sharon Holland Johnson | Licensed Practical Nurse | 140 Dekruif Pl, Bronx, NY 10475 | 2017-06-12 |
| 1740719152 | Nadia S Etienne | Licensed Practical Nurse | 120 De Kruif Place, Apt 18h, Bronx, NY 10475 | 2017-06-08 |
| 1407385891 | Ashley N Freeze | Case Manager/Care Coordinator | 140 Darrow Place Suite 24e, Bronx, NY 10475 | 2017-06-08 |
| 1912454091 | Usth.inc | Early Intervention Provider Agency | 120 Coop City Blvd, 21-f, Bronx, NY 10475 | 2016-09-06 |
| 1447626130 | Zelda Boomer | Registered Nurse | 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 | 2015-08-17 |
| Find all providers in zip 10475 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351124 | Dental On The Hudson | Clinic/Center | 2735 Henry Hudson Pkwy Ste 203, Bronx, NY 10463-4701 | 2019-11-25 |
| 1366880841 | S&b Dental Group, P.C. | Clinic/Center | 500 E 165th St, Bronx, NY 10456-6657 | 2013-06-06 |
| 1275771248 | Superior Dental | Clinic/Center | 2475 Grand Concourse, Bronx, NY 10468-5443 | 2009-01-29 |
| 1801067715 | All In One Dental | Clinic/Center | 4521 3rd Ave, Bronx, NY 10457-1515 | 2008-03-19 |
| 1508037466 | Alejandro Williams Dental Office PC | Clinic/Center | 1624 University Ave, Bronx, NY 10453 | 2008-03-19 |
| 1154449924 | Joseph Landisi | Clinic/Center | 1750 Crosby Ave, Bronx, NY 10461 | 2007-03-27 |
| 1932713849 | Gerald Fiterstein Dds PC | Clinic/Center | 1049 E 163rd St, Bronx, NY 10459-4510 | 2020-09-08 |
| 1770132037 | Michael Aghelian Dds Pllc | Clinic/Center | 2005 Nereid Ave, Bronx, NY 10466-1228 | 2019-09-10 |
| 1720542210 | Third Avenue Bronx Dental PC | Clinic/Center | 2740 3rd Ave, Bronx, NY 10455-4036 | 2019-01-29 |
| 1861997702 | Charles Husaini | Clinic/Center | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2018-03-23 |
| Find all providers in BRONX | ||||
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| 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.