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

Manhattan Park Dental, PLLC

Organization Dentist · NPI 1720888910

Manhattan Park Dental, PLLC is a Dentist in New York, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 Central Park S Rm 11C
New York, NY 10019-1628
Phone: (212) 702-8675
Fax: (212) 702-8675
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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
Dentist Taxonomy 122300000X
Pediatric Dentistry Taxonomy 1223P0221X
Prosthodontics Taxonomy 1223P0700X

Record details

NPI number1720888910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Camille San Miguel — President · (240) 491-7171
NPI enumeratedMarch 17, 2025
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address30 Central Park S Rm 11c, New York, NY 10019-1628

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