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BROOKLYN COSMETIC AND IMPLANT DENTISTRY NPI 1821545351


NPI Information

NPI: 1821545351
Provider Name: BROOKLYN COSMETIC AND IMPLANT DENTISTRY
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

CLIA Number: 33D2206064

Address:
142 JORALEMON STREET
6D
BROOKLYN, NY
ZIP 11201
Phone: (718) 624-3230
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BROOKLYN COSMETIC AND IMPLANT DENTISTRY is an endodontics dentist in Brooklyn, NY. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. BROOKLYN COSMETIC AND IMPLANT DENTISTRY NPI is 1821545351. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

142 JORALEMON STREET
6D
BROOKLYN, NY
ZIP 11201-747
Phone: (718) 624-3230

The provider's authorized official is Andrew Myers .
The authorized official title is President and has the following contact phone number (718) 642-3230.

The CLIA number assigned to this NPI record is 33D2206064 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics0330321NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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