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PEDIATRIC DENTAL ASSOCIATES PC NPI 1225201460


NPI Information

NPI: 1225201460
Provider Name: PEDIATRIC DENTAL ASSOCIATES, PC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
2132 OCEAN AVE
BROOKLYN, NY
ZIP 11229
Phone: (718) 645-1588
Get Directions

PEDIATRIC DENTAL ASSOCIATES, PC is a pediatric dentistry dentist in Brooklyn, NY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC DENTAL ASSOCIATES, PC NPI is 1225201460. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2132 OCEAN AVE
BROOKLYN, NY
ZIP 11229-406
Phone: (718) 645-1588
Fax: (718) 376-2381

The provider's authorized official is Elan Kaufman .
The authorized official title is Director and has the following contact phone number (718) 645-1588.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 4/9/2008.


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
11223P0221XDentistPediatric Dentistry047862NEW 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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