DENTAL SPECIALTY ASSOCIATES PC NPI 1245299676

NPI Information

  • NPI: 1245299676
  • Provider Name: DENTAL SPECIALTY ASSOCIATES PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 447 FULTON ST
    BROOKLYN, NY
    ZIP 11201
  • Phone: (718) 875-3200

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NPI Details

DENTAL SPECIALTY ASSOCIATES PC is an oral and maxillofacial surgery dentist in Brooklyn, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DENTAL SPECIALTY ASSOCIATES PC NPI is 1245299676. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

447 FULTON ST
BROOKLYN, NY
ZIP 11201-207
Phone: (718) 875-3200
Fax: (212) 732-0267

The provider's authorized official is Paul Irving Cohen .
The authorized official title is President and has the following contact phone number (212) 374-9500.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 8/22/2020.

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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102593511MEDICAIDNEW 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: 11/21/2025

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