Isaac Datikashvili Dentistry Pllc

LBN: Isaac Datikashvili Dentistry Pllc
Isaac Datikashvili Dentistry Pllc is an health care organization with primary practice located at 100 E 12Th St , New York NY 10003-5375. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Suppliers / Customized Equipment. Dental Providers / General Practice is the primary health care specialty. Isaac Datikashvili Dentistry Pllc can be contacted via phone (212) 600-4274, or through Datikashvili, Isaac via phone (215) 917-6886.

Contact Information

Primary practice address
100 E 12Th St New York NY 10003-5375
Phone: (212) 600-4274
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Datikashvili, Isaac Doctor of Dental Medicine (DMD)
Phone: (215) 917-6886

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1639648819
LBN Legal business name Isaac Datikashvili Dentistry Pllc
DBA Doing business as
Authorized official Datikashvili, Isaac Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2018
Last updated Jun 2nd, 2026 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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