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

Executive Dental Care PC

Organization Preferred Provider Organization · NPI 1073788717

Executive Dental Care PC is a Preferred Provider Organization in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8011 Fifth Avenue 2nd Fl
Brooklyn, NY 11209
Phone: (718) 748-6847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 036639 (NY)

Record details

NPI number1073788717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wallett — General Dentist/Owner · (718) 748-6847
NPI enumeratedApril 24, 2008
Last updated in NPPESApril 24, 2008
Mailing address8011 Fifth Avenue, 2nd Floor, Brooklyn, NY 11209

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