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

Professional Dental Office PC

Organization Dentist · NPI 1073659074

Professional Dental Office PC 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
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

167 Rivington St 1st Fl
New York, NY 10002-2555 Not confirmed with CMS for 13 years — call before visiting
Phone: (212) 673-9367
Fax: (212) 673-9367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 048431-1 (NY)

Record details

NPI number1073659074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosa Diaz — President · (212) 673-9367
NPI enumeratedJanuary 29, 2007
Last updated in NPPESSeptember 5, 2013
Mailing address167 Rivington St, 1st Floor, New York, NY 10002-2555

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