Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Yamagata Dental, PC

Organization General Practice Dentistry · NPI 1063630242

Yamagata Dental, PC provides General Practice Dentistry 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.

See every abbreviation used in this directory →

Practice location Address checks out

230 Park Ave Ste 525
New York, NY 10169-0005
Phone: (212) 867-1188
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 043278 (NY)

Record details

NPI number1063630242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ren Yamagata — President · (212) 867-1188
NPI enumeratedApril 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address230 Park Ave, Suite 525, New York, NY 10169-0005

Other providers in New York