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3545 Johnson Blvd Dental PC

3545 Johnson Blvd Dental PC is a healthcare organization registered as Dental Clinic/Center in Bronx, NY, holding Type 2 (organization) NPI 1124759527 since 2022. The authorized official on file is Alejandro Williams, Owner.

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NPI 1124759527
Entity type Organization (Type 2)
Legal business name 3545 Johnson Blvd Dental PC
Practice address 1624 UNIVERSITY AVE BSMT, Bronx, NY, 10453
Phone 7182943725
Enumeration date 2022-06-17
Last updated in NPPES 2024-08-28

Authorized official

Name Alejandro Williams
Title Owner
Phone 7182943725

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QD0000X Dental Clinic/Center Primary

Other identifiers

Identifier Type State Issuer
06804993 Medicaid NY
Copy-ready billing details
Provider: 3545 Johnson Blvd Dental PC
NPI: 1124759527
Taxonomy: 261QD0000X (Dental Clinic/Center)
Address: 1624 UNIVERSITY AVE BSMT, Bronx, NY, 10453

Verify this record

Cross-check NPI 1124759527 against the authoritative CMS record: view 3545 Johnson Blvd Dental PC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-08-28. Verify at npiregistry.cms.hhs.gov.
Where is 3545 Johnson Blvd Dental PC located?
The practice location on file with NPPES is in Bronx, NY.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-08-28.