Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michelangelo Javier San Juan, DMD

Individual provider Dentist · NPI 1588421432

Dr. Michelangelo Javier San Juan, DMD is a Dentist in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2024
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1 Gustave L Levy Pl Fl 12
New York, NY 10029-6574
Phone: (212) 241-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2727 44th Dr, Long Island City, NY 11101-2930 — (929) 590-1059

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 065018 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588421432
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 5, 2024
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

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