Healthcare Provider Details

I. General information

NPI: 1376355990
Provider Name (Legal Business Name): YASSMIN PARSAEI, DMD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 E 40TH ST STE PH
NEW YORK NY
10016-1201
US

IV. Provider business mailing address

200 E 39TH ST APT 16F
NEW YORK NY
10016-2869
US

V. Phone/Fax

Practice location:
  • Phone: 646-580-5059
  • Fax:
Mailing address:
  • Phone: 646-580-5059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. YASSMIN PARSAEI
Title or Position: OWNER
Credential: DMD, MDS
Phone: 912-713-8813