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NPI Code Detail

MEDICARE: PROBITY DENTAL PLLC

MEDICARE: PROBITY DENTAL 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
11223G0001XGeneral Practice Dentistry1265674626NY

General Provider Information

NPI Number : 1922556414
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROBITY DENTAL PLLC
Provider Business Mailing Address
First Line : 815 HUTCHINSON PKWY
Second Line :
City : BRONX
State : NY
Zip : 10465-1887
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 815 HUTCHINSON RIVER PKWY
Second Line :
City : BRONX
State : NY
Zip : 10465-1887
Country : US
Telephone Number : 646-578-8378
Fax Number :
Authorized Official
Title or Position : OWNER/OPERATOR
Name : DR. ERICA A. MILLS
Credential : DDS
Telephone Number : 646-842-0522
Provider Enumeration Date : 09/14/2016
Last Update Date : 09/14/2016

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Directions to “PROBITY DENTAL PLLC ” Practice Location

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