MEDICARE: AHUJA DENTAL DOWNTOWN PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1699665091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHUJA DENTAL DOWNTOWN PC

Provider Business Mailing Address
First Line	:	145 CANAL ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-5033
Country	:	US
Telephone Number	:	646-604-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 CANAL ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-5033
Country	:	US
Telephone Number	:	646-604-5700
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/ OWNER
Name	:	DR. TARAN KAUR REYNOLDS
Credential	:
Telephone Number	:	202-251-0408

Provider Enumeration Date	:	07/07/2025
Last Update Date	:	07/07/2025

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