PARKSIDE DENTAL PC NPI 1902907744

NPI Information

PARKSIDE DENTAL PC 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. PARKSIDE DENTAL PC NPI is 1902907744. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

325 OCEAN AVE
BROOKLYN, NY
ZIP 11225
Phone: (718) 462-7436
Fax: (718) 462-2418

The provider's authorized official is Serge Kupetz .
The authorized official title is Doctor Owner and has the following contact phone number (718) 462-7436.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 6/7/2013.

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:

Other Identifiers

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