National Provider Identifier
Phalguni Mitra, DDS
Phalguni Mitra, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Jamestown, NY and a listed phone number of (716) 484-4334.
Profile Overview
- NPI
- 1932325610
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- April 18, 2007
- Last Updated
- August 31, 2023
Practice Location
- 107 Institute St
- Jamestown, NY 14701-6628
Phone: (716) 484-4334
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1932325610
- Entity Type
- Individual
- Last Name
- Mitra
- First Name
- Phalguni
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 107 Institute St
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6628
- Mailing Country
- US
- Mailing Phone
- (716) 484-4334
- Practice Street Address
- 107 Institute St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6628
- Practice Country
- US
- Practice Phone
- (716) 484-4334
- Enumeration Date
- April 18, 2007
- Last Updated
- August 31, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 31, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 01349426 (NY)