MEDICARE: MANHATTAN DENTAL ENTERPRISE, PLLC

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
1	122300000X	Dentist	052419	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427213891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANHATTAN DENTAL ENTERPRISE, PLLC

Provider Business Mailing Address
First Line	:	1825 MADISON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-3829
Country	:	US
Telephone Number	:	212-426-3790
Fax Number	:	212-426-3792

Provider Business Practice Location Address
First Line	:	1825 MADISON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-3829
Country	:	US
Telephone Number	:	212-426-3790
Fax Number	:	212-426-3792

Authorized Official
Title or Position	:	DDS
Name	:	DR. LASAUNDRA C. ESTELLE
Credential	:
Telephone Number	:	212-426-3790

Provider Enumeration Date	:	07/24/2008
Last Update Date	:	07/24/2008

Similar Medicare Providers

1871708909 — ANNE BOBRICK LCSW
Practice Location Address:

1825 MADISON AVE , APT. 4D
NEW YORK, NY
10035-3829

Practice Phone: 212-988-9845
Practice Fax:

1184852741 — MADISON AVENUE RADIOLOGY PC
Practice Location Address:

1825 MADISON AVE
NEW YORK, NY
10035-3829

Practice Phone: 212-860-3500
Practice Fax:

1265742480 — EXCLUSIVE DENTAL STUDIOS
Practice Location Address:

1825 MADISON AVENUE
NEW YORK, NY
10035-3829

Practice Phone: 212-860-1660
Practice Fax: 212-860-1664

1841598430 — INNOVATIVE MEDICAL DIAGNOSTIC CARE PC
Practice Location Address:

1825 MADISON AVE
NEW YORK, NY
10035-3829

Practice Phone: 212-860-3500
Practice Fax:

1669760666 — INNOVATIVE MEDICAL DIAGNOSTIC CARE, PC
Practice Location Address:

1825 MADISON AVE
NEW YORK, NY
10035-3829

Practice Phone: 212-860-3500
Practice Fax: 212-860-3531

1942847371 — L.D.C. PHARMACY CORP
Practice Location Address:

1825 MADISON AVE
NEW YORK, NY
10035-3829

Practice Phone: 212-369-5555
Practice Fax: 212-534-4517

Directions to “MANHATTAN DENTAL ENTERPRISE, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.