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

Nanuet Mall Dental, PC

Organization General Practice Dentistry · NPI 1609093905

Nanuet Mall Dental, PC is a General Practice Dentistry in Nanuet, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

75 W Route 59 Suite# 1009A
Nanuet, NY 10954-2700
Phone: (845) 624-7500
Fax: (845) 624-7505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 049059 (NY)

Record details

NPI number1609093905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yelena Khrapko — General Dentist · (845) 624-7500
NPI enumeratedApril 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address75 W Route 59, Suite# 1009a, Nanuet, NY 10954-2700

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