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

Formoso Dental PC

Organization Dentist · NPI 1629490826

Formoso Dental PC provides Dentist services in New York, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 E 40th St Rm 305
New York, NY 10016-1247
Phone: (212) 370-1919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 053083 (NY)

Record details

NPI number1629490826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Lee — President · (718) 388-4613
NPI enumeratedJanuary 8, 2014
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing address202 Union Ave, D, Brooklyn, NY 11211-1739

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