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

City Dental Service Provider, PLLC

Organization Pediatric Dentistry · NPI 1003757204

City Dental Service Provider, PLLC is a Pediatric Dentistry in Scarsdale, New York. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

777 White Plains Rd
Scarsdale, NY 10583-5000
Phone: (914) 472-9090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1003757204
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCity Dental Service Provider, PLLC
Authorized official Charlotte Dasch — Sr. Director Of Credentialing &Pr · (504) 638-0303
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address1610 54th Ave N Ste 205, Nashville, TN 37209-1442

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