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21ST CENTURY FAMILY DENTAL P.C NPI 1871926048


NPI Information

NPI: 1871926048
Provider Name: 21ST CENTURY FAMILY DENTAL P.C
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
738 BROADWAY
BROOKLYN, NY
ZIP 11206
Phone: (718) 384-2662
Get Directions

21ST CENTURY FAMILY DENTAL P.C is a general practice dentist in Brooklyn, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. 21ST CENTURY FAMILY DENTAL P.C NPI is 1871926048. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

738 BROADWAY
BROOKLYN, NY
ZIP 11206-403
Phone: (718) 384-2662
Fax: (718) 384-6408

The provider's authorized official is Shahryar Sedgh .
The authorized official title is Persident and has the following contact phone number (718) 384-2662.

The enumeration date for this NPI number is 8/12/2013 and was last updated on 8/12/2013.


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
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101768034MEDICAIDNEW YORK

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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