Concourse Plaza Family Dental LLC
NPI 1417325382ActiveOrganization· Dentist· Bronx, NY
Dentist in Bronx, New York, registered in NPPES in September 2015. The authorized official on file is Godrick Allister Taylor, DDS, Owner.
Overview
| NPI | 1417325382 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 9, 2015 |
| Last updated in NPPES | Sep 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 052071 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist providers in Bronx
- 1932579596
- 1669660031
- 1295161081
- 1942342746
- 1588870059
- 1922211408
- 1447464847
- 1407691165
- 1568843290
- 1346424702
- 1255738126
- 1841666377