ADVANCED PERIODONTAL SERVICES PC NPI 1346364296

NPI Information

  • NPI: 1346364296
  • Provider Name: ADVANCED PERIODONTAL SERVICES, PC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • CLIA Number: 33D2163722
  • Address: 1603 VOORHIES AVE
    SECOND FLOOR
    BROOKLYN, NY
    ZIP 11235
  • Phone: (718) 743-8279

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NPI Details

ADVANCED PERIODONTAL SERVICES, PC 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. ADVANCED PERIODONTAL SERVICES, PC NPI is 1346364296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1603 VOORHIES AVE
SECOND FLOOR
BROOKLYN, NY
ZIP 11235-959
Phone: (718) 743-8279
Fax: (718) 743-9145

The provider's authorized official is Stuart Lawrence Segelnick .
The authorized official title is President and has the following contact phone number (718) 743-8279.

The CLIA number assigned to this NPI record is 33D2163722 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2007 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
11223P0300XDentistPeriodontics044106NEW 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: 3/30/2025

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