Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

12th Street Dental PLLC

Organization Public Health Dentistry · NPI 1013499052

12th Street Dental PLLC is a Public Health Dentistry in New York, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

77 E 12th St
New York, NY 10003-5002
Phone: (917) 915-4504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X · Licence 051610 (NY)

Record details

NPI number1013499052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Janash — President And Ceo · (917) 915-4504
NPI enumeratedSeptember 6, 2018
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address30 Central Park S Rm 13c, New York, NY 10019-1646

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