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

Soul Dental West PLLC

Organization General Practice Dentistry · NPI 1083170021

Soul Dental West PLLC provides General Practice Dentistry in New York, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

853 11th Ave
New York, NY 10019
Phone: (212) 201-0718
Fax: (646) 597-6068
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1083170021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alla Malanitcheva — Administrator · (718) 916-6748
NPI enumeratedFebruary 14, 2019
Last updated in NPPESFebruary 14, 2019
Mailing address853 11th Ave, New York, NY 10019

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