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

4th Avenue Dental PC

Organization General Practice Dentistry · NPI 1356580914

4th Avenue Dental PC is a General Practice Dentistry in Mount Vernon, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

157 S 4th Ave
Mount Vernon, NY 10550-3106
Phone: (914) 664-5342
Fax: (718) 275-3049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 036630 (NY)

Record details

NPI number1356580914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Haresh Shah — President · (914) 664-5342
NPI enumeratedFebruary 5, 2009
Last updated in NPPESFebruary 5, 2009
Mailing address11033 64th Ave, Forest Hills, NY 11375-1428

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