Pavel Niderman DDS Atlantic Dental
Pavel Niderman DDS Atlantic Dental provides Dentist services in New York, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
2060 Lexington Ave Frnt 2New York, NY 10035-1759
Phone: (212) 996-5996
Fax: (212) 996-0030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 044976 (NY) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 044976 (NY) |
| Periodontics | Taxonomy 1223P0300X · Licence 048519 (NY) |
Record details
| NPI number | 1437372380 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pavel Niderman — President · (212) 996-5996 |
| NPI enumerated | April 10, 2007 |
| Last updated in NPPES | July 20, 2020 |
| Certification date | July 20, 2020 |
| Mailing address | 2060 Lexington Ave Fl 2nd, New York, NY 10035-1759 |
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