Provider Demographics
NPI:1992174890
Name:PERSONAL CARE DENTAL OF WESTCHESTER, PLLC
Entity type:Organization
Organization Name:PERSONAL CARE DENTAL OF WESTCHESTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-772-3536
Mailing Address - Street 1:455 CENTRAL PARK AVE
Mailing Address - Street 2:SUITE 315A
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1060
Mailing Address - Country:US
Mailing Address - Phone:914-723-5260
Mailing Address - Fax:
Practice Address - Street 1:455 CENTRAL PARK AVE
Practice Address - Street 2:SUITE 315A
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1060
Practice Address - Country:US
Practice Address - Phone:914-723-5260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044794122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty