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Executive Dental Care PC

Preferred Provider Organization in Brooklyn, NY · enumerated 2008 · authorized official James Wallett, General Dentist/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073788717

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Registry record

Entity type Organization (Type 2)
Legal business name Executive Dental Care PC
Practice address 8011 Fifth Avenue, 2nd Floor, Brooklyn, NY, 11209
Phone (718) 748-6847
Enumeration date Apr 24, 2008
Last updated in NPPES Apr 24, 2008

Taxonomy & classification

305R00000X Preferred Provider Organization Managed Care Organizations · License 036639 (NY) Primary

Authorized official

Name James Wallett
Title General Dentist/Owner
Phone (718) 748-6847

Other identifiers

Identifier Type State Issuer
00759435 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Executive Dental Care PC?
NPPES lists James Wallett (General Dentist/Owner) as the authorized official for this organization.
What is the NPI number for Executive Dental Care PC?
The NPI for Executive Dental Care PC is 1073788717, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-24.