Healthcare Provider Details

I. General information

NPI: 1396550935
Provider Name (Legal Business Name): TEAM DENTAL NYC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 E 33RD ST FL 4
NEW YORK NY
10016-4804
US

IV. Provider business mailing address

251 E 33RD ST FL 4
NEW YORK NY
10016-4804
US

V. Phone/Fax

Practice location:
  • Phone: 212-482-1212
  • Fax: 904-871-8117
Mailing address:
  • Phone: 212-482-1212
  • Fax: 904-871-8117

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. ZUBAD A NEWAZ
Title or Position: DOCTOR
Credential: DDS
Phone: 734-223-5794