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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790242683

Nina Poothikottu Philip, DDS is a Student in an Organized Health Care Education/Training Program in Yonkers, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

462 S Broadway
Yonkers, NY 10705-2340
Phone: (914) 376-6138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 061468 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790242683
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 27, 2019
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

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