Healthcare Provider Details

I. General information

NPI: 1447176979
Provider Name (Legal Business Name): AFTER DARK DENTAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 W 37TH ST FL 3
NEW YORK NY
10018-7481
US

IV. Provider business mailing address

10 W 37TH ST FL 3
NEW YORK NY
10018-7481
US

V. Phone/Fax

Practice location:
  • Phone: 212-444-2477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BASEM RASHAD
Title or Position: OWNER
Credential:
Phone: 609-510-9050