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

Professional Dental Service

Organization Dentist · NPI 1760654974

Professional Dental Service provides Dentist services in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

611 W 156th St Ste 55
New York, NY 10032-7508 Not confirmed with CMS for 18 years — call before visiting
Phone: (212) 738-0005
Fax: (212) 368-4391
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 052157-1 (NY)

Record details

NPI number1760654974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alba Maria-Diaz — Dentist · (212) 738-0005
NPI enumeratedMarch 27, 2008
Last updated in NPPESMarch 27, 2008
Mailing address611 W 156th St, Suite 55, New York, NY 10032-7508

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