Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dynamic Smile Dental PLLC

Organization Dentist · NPI 1073987301

Dynamic Smile Dental PLLC provides Dentist services in New York, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

80 Bowery Rm #400
New York, NY 10013-4614 Not confirmed with CMS for 10 years — call before visiting
Phone: (212) 219-8230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 051245 (NY)

Record details

NPI number1073987301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Lee — Sole Proprietor · (212) 219-8230
NPI enumeratedNovember 24, 2015
Last updated in NPPESNovember 24, 2015
Mailing address80 Bowery, Room #400, New York, NY 10013-4614

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