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NPI · 1073788717 · NPPES-sourced

Executive Dental Care PC

ActivePreferred Provider Organization
NPI Number
1073788717
Type 2 · Organisation
Taxonomy Code
305R00000X
Contact
(718) 748-6847
License NY · 036639
Last Updated
Enumerated
Primary practice addressNY · 11209
8011 Fifth Avenue, 2nd FloorBrooklyn, NY 11209
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About this NPIWhat this record shows.

NPI 1073788717 is registered to Executive Dental Care PC, a healthcare organisation classified as "Preferred Provider Organization" and located at 8011 Fifth Avenue, 2nd Floor in Brooklyn, New York. The organisation's authorised official is James Wallett. The organisation has been enumerated in the NPI registry since 2008.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Executive Dental Care PC accepts. To confirm in-network status with your specific health plan, contact Executive Dental Care PC directly at (718) 748-6847.

Frequently asked

Yes. NPI 1073788717 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Preferred Provider Organization is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (718) 748-6847.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Executive Dental Care PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy305R00000X
Last updated
Enumerated
StatusActive
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