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NPI Code Detail

MEDICARE: AH NYC DENTAL PC

MEDICARE: AH NYC DENTAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10471301OTHERNYLIC

General Provider Information

NPI Number : 1215893094
Entity Type Code : Organization
Provider Name (Legal Business Name) : AH NYC DENTAL PC
Provider Business Mailing Address
First Line : 625 E FORDHAM RD
Second Line :
City : BRONX
State : NY
Zip : 10458-5049
Country : US
Telephone Number : 212-960-8767
Fax Number :
Provider Business Practice Location Address
First Line : 625 E FORDHAM RD
Second Line :
City : BRONX
State : NY
Zip : 10458-5049
Country : US
Telephone Number : 212-960-8767
Fax Number :
Authorized Official
Title or Position : DENTIST - ORAL AND MAXILLOFACIAL SU
Name : DR. ALEXANDER HEIFITZ
Credential : DDS, GD
Telephone Number : 212-960-8767
Provider Enumeration Date : 12/24/2025
Last Update Date : 06/04/2026

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Directions to “AH NYC DENTAL PC ” Practice Location

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