BROOKLYN DENTAL HOME PC NPI 1205798030

NPI Information

  • NPI: 1205798030
  • Provider Name: BROOKLYN DENTAL HOME PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 3755 82ND ST FL 2
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Phone: (718) 703-7500

Map and Directions

Get Directions

NPI Details

BROOKLYN DENTAL HOME PC is a general practice dentist in Jackson Heights, 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. BROOKLYN DENTAL HOME PC NPI is 1205798030. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3755 82ND ST FL 2
JACKSON HEIGHTS, NY
ZIP 11372-031
Phone: (718) 703-7500

The provider's authorized official is Ariel Aminov .
The authorized official title is Director and has the following contact phone number (516) 512-3164.

The enumeration date for this NPI number is 12/1/2025 and was last updated on 12/1/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
2204E00000XOral & Maxillofacial SurgeryNo
31223G0001XDentistGeneral PracticeYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI