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

Open Dental PC

Organization Dental Clinic/Center · NPI 1114332798

Open Dental PC provides Dental Clinic/Center 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

300 E 96th St Apt 6E
New York, NY 10128-3869 Not confirmed with CMS for 12 years — call before visiting
Phone: (734) 883-4406
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 056676 (NY)

Record details

NPI number1114332798
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anastasia Kovaleva — Office Manager · (718) 618-7564
NPI enumeratedJune 23, 2014
Last updated in NPPESJune 23, 2014
Mailing address300 E 96th St Apt 6e, New York, NY 10128-3869

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