Provider Demographics
NPI:1285967513
Name:ADVANCED DENTAL OF ARDSLEY PLLC
Entity type:Organization
Organization Name:ADVANCED DENTAL OF ARDSLEY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANGEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:SETHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-693-7570
Mailing Address - Street 1:1055 SAW MILL RIVER RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-1045
Mailing Address - Country:US
Mailing Address - Phone:914-693-7570
Mailing Address - Fax:914-693-7793
Practice Address - Street 1:1055 SAW MILL RIVER RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1045
Practice Address - Country:US
Practice Address - Phone:914-693-7570
Practice Address - Fax:914-693-7793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044051-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty