NPI Code Details Logo

NPI 1922894963

NPI 1922894963 : METROPOLITAN DENTAL CARE LLC : NEW YORK, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1922894963
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    METROPOLITAN DENTAL CARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/16/2025
-----------------------------------------------------
    Last Update Date     |    04/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    275 MADISON AVE STE. 2118
-----------------------------------------------------
    City                 |    NEW YORK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10016
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    212-867-4223
-----------------------------------------------------
    Fax                  |    212-867-6050
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    275 MADISON AVE STE. 2118
-----------------------------------------------------
    City                 |    NEW YORK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10016
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    212-867-4223
-----------------------------------------------------
    Fax                  |    212-867-6050
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/DENTIST/PRESIDENT
-----------------------------------------------------
    Name                 |     NICOLE  MERMET 
-----------------------------------------------------
    Credential           |    DMD
-----------------------------------------------------
    Telephone            |    212-867-4223
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223P0700X
-----------------------------------------------------
    Taxonomy Name        |    Prosthodontics
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    122300000X
-----------------------------------------------------
    Taxonomy Name        |    Dentist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.