Provider Demographics
NPI:1902338064
Name:WHITE PLAINS DENTAL PLLC
Entity Type:Organization
Organization Name:WHITE PLAINS DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.D.S.
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:POZNYANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-948-0088
Mailing Address - Street 1:19 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3503
Mailing Address - Country:US
Mailing Address - Phone:914-948-0088
Mailing Address - Fax:914-948-2770
Practice Address - Street 1:19 S BROADWAY
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3503
Practice Address - Country:US
Practice Address - Phone:914-948-0088
Practice Address - Fax:914-948-2770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0513651223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Multi-Specialty