BROOKLYN PERIODONTICS AND IMPLANT DENTISTRY P.C. NPI 1093958282

NPI Information

BROOKLYN PERIODONTICS AND IMPLANT DENTISTRY, P.C. 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. BROOKLYN PERIODONTICS AND IMPLANT DENTISTRY, P.C. NPI is 1093958282. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

185 MONTAGUE ST
9TH FLOOR
BROOKLYN, NY
ZIP 11201-600
Phone: (718) 643-1953

The provider's authorized official is Michael Zidile .
The authorized official title is Periodontist and has the following contact phone number (718) 643-1953.

The CLIA number assigned to this NPI record is 33D0667136 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/17/2009 and was last updated on 10/1/2013.

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:

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