LIVE WELL DENTAL SERVICES PLLC NPI 1346790813

NPI Information

  • NPI: 1346790813
  • Provider Name: LIVE WELL DENTAL SERVICES PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 86 PIERREPONT ST
    BROOKLYN, NY
    ZIP 11201
  • Phone: (718) 875-8088

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NPI Details

LIVE WELL DENTAL SERVICES PLLC is a dental clinic center in Brooklyn, NY. LIVE WELL DENTAL SERVICES PLLC NPI is 1346790813. The provider is registered as an organization entity type.

The provider's business location address is:

86 PIERREPONT ST
BROOKLYN, NY
ZIP 11201-819
Phone: (718) 875-8088

The provider's authorized official is David Tavelin .
The authorized official title is Sole Member and has the following contact phone number (917) 309-3961.

The enumeration date for this NPI number is 10/9/2016 and was last updated on 10/9/2016.

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
1261QD0000XClinic/CenterDental50111243NEW 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: 11/21/2025

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