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NINTH AVENUE DENTAL P.C. NPI 1437357928


NPI Information

NPI: 1437357928
Provider Name: NINTH AVENUE DENTAL P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4109 9TH AVE
BROOKLYN, NY
ZIP 11232
Phone: (718) 435-6858
Get Directions

NINTH AVENUE DENTAL P.C. is a general practice dentist in Brooklyn, 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. NINTH AVENUE DENTAL P.C. NPI is 1437357928. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4109 9TH AVE
BROOKLYN, NY
ZIP 11232-001
Phone: (718) 435-6858
Fax: (718) 435-5017

The provider's authorized official is Michael J Weiss .
The authorized official title is President and has the following contact phone number (718) 435-6858.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 6/20/2008.


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
11223G0001XDentistGeneral Practice037498-1NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100823116MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2=========OTHERNEW YORKTAX ID
300823116MEDICAIDNEW 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: 4/28/2024

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