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

Periodontics of New York, PLLC

Organization Dental Clinic/Center · NPI 1992504856

Periodontics of New York, PLLC is a Dental Clinic/Center in New York, New York. Registered with an NPI since 2025.

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

See every abbreviation used in this directory →

Practice location Address checks out

30 E 40th St Rm 1102
New York, NY 10016-1204
Phone: (212) 683-4476
Fax: (212) 683-4577
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1992504856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Pack — Owner · (212) 683-4476
Other names Philip D Pack, Dmd
NPI enumeratedMarch 12, 2025
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address30 E 40th St Rm 1102, New York, NY 10016-1204

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