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

Formoso Dental PC

Organization Dentist · NPI 1629490826

Formoso Dental PC is a Dentist in New York, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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

30 E 40th St Rm 305
New York, NY 10016-1247
Phone: (212) 370-1919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 053083 (NY)

Record details

NPI number1629490826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Lee — President · (718) 388-4613
NPI enumeratedJanuary 8, 2014
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing address202 Union Ave, D, Brooklyn, NY 11211-1739

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