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

Vital Dental

Organization Dentist · NPI 1326521139

Vital Dental provides Dentist services in New York, New York. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
13
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Practice location Address checks out

30 E 40th St Rm 201
New York, NY 10016-1221
Phone: (781) 535-1068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X
Public Health Dentistry Taxonomy 1223D0001X
Dental Anesthesiology Taxonomy 1223D0004X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Oral and Maxillofacial Radiology Dentistry Taxonomy 1223X0008X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X
Denturist Taxonomy 122400000X
Dental Hygienist Taxonomy 124Q00000X
Dental Therapist Taxonomy 125J00000X
Advanced Practice Dental Therapist Taxonomy 125K00000X
Dental Assistant Taxonomy 126800000X
Dental Laboratory Technician Taxonomy 126900000X

Record details

NPI number1326521139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zahra Bagheri — Ceo · (781) 535-1068
NPI enumeratedSeptember 9, 2018
Last updated in NPPESSeptember 9, 2018
Mailing address180 Nassau St Apt 8a, Brooklyn, NY 11201-2198

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