Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Genesis Dentistry PC

Organization Dentist · NPI 1548494826

Genesis Dentistry PC provides Dentist services in Bronx, 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.

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Practice location Address checks out

375 E Fordham Rd 2 Fl
Bronx, NY 10458-5033 Not confirmed with CMS for 17 years — call before visiting
Phone: (718) 584-3826
Fax: (718) 584-7309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 045711-1 (NY)

Record details

NPI number1548494826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andres Miranda — President · (718) 584-3826
NPI enumeratedMay 14, 2009
Last updated in NPPESMay 14, 2009
Mailing address375 E Fordham Rd, 2 Floor, Bronx, NY 10458-5033

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