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Illustradent Yonkers Dental Services PLLC

NPI 1811312275ActiveOrganization· Dentist, General Practice· Yonkers, NY

Dentist, General Practice in Yonkers, New York, registered in NPPES in February 2014. The authorized official on file is Mara Rosenberg, Member.

Overview

NPI1811312275
StatusActive
Entity typeOrganization
NPI issuedFeb 21, 2014
Last updated in NPPESFeb 21, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X052858NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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