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

Individual provider Periodontics · NPI 1811041478

Dr. Philip David Pack, DMD is a Periodontics in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

30 E 40th St 1102
New York, NY 10016-1201
Phone: (212) 683-4476
Fax: (212) 683-4577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 032506 (NY)

Record details

NPI number1811041478
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESJuly 8, 2007

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