ADVANCED PERIODONTAL SERVICES PC NPI 1346364296

NPI Information

ADVANCED PERIODONTAL SERVICES, PC is a periodontics dentist in Brooklyn, NY. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. ADVANCED PERIODONTAL SERVICES, PC NPI is 1346364296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1603 VOORHIES AVE
SECOND FLOOR
BROOKLYN, NY
ZIP 11235-959
Phone: (718) 743-8279
Fax: (718) 743-9145

The provider's authorized official is Stuart Lawrence Segelnick .
The authorized official title is President and has the following contact phone number (718) 743-8279.

The CLIA number assigned to this NPI record is 33D2163722 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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