Provider Demographics
NPI:1992456982
Name:DAVID SCHLOSS DDS AND ROSHANI PATEL DMD
Entity type:Organization
Organization Name:DAVID SCHLOSS DDS AND ROSHANI PATEL DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JACK
Authorized Official - Last Name:SCHLOSS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-873-1234
Mailing Address - Street 1:36 W 44TH ST STE 402
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-8107
Mailing Address - Country:US
Mailing Address - Phone:212-873-1234
Mailing Address - Fax:
Practice Address - Street 1:36 W 44TH ST STE 402
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-8107
Practice Address - Country:US
Practice Address - Phone:212-873-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental