Healthcare Provider Details
I. General information
NPI: 1972425072
Provider Name (Legal Business Name): CHELSEA DENTAL STUDIO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
420 W 23RD ST #GF
NEW YORK NY
10011-2172
US
IV. Provider business mailing address
420 WEST 23RD ST #GF
NY NY
10011
US
V. Phone/Fax
- Phone: 212-929-9200
- Fax:
- Phone: 212-929-9200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223D0001X |
| Taxonomy | Public Health Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
H
SELIGMAN
Title or Position: OWNER
Credential: DMD
Phone: 212-929-9200