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WYCKOFF HEIGHTS DENTAL SERVICES P.C. NPI 1447298070


NPI Information

NPI: 1447298070
Provider Name: WYCKOFF HEIGHTS DENTAL SERVICES P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
374 STOCKHOLM ST
BROOKLYN, NY
ZIP 11237
Phone: (718) 963-7174
Get Directions

WYCKOFF HEIGHTS DENTAL SERVICES 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. WYCKOFF HEIGHTS DENTAL SERVICES P.C. NPI is 1447298070. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

374 STOCKHOLM ST
BROOKLYN, NY
ZIP 11237-006
Phone: (718) 963-7174
Fax: (718) 302-6744

The provider's authorized official is Vali Gache .
The authorized official title is Cfo and has the following contact phone number (718) 240-1795.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 4/3/2019.


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
1122300000XDentistNo
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeYes
41223P0221XDentistPediatric DentistryNo
51223P0300XDentistPeriodonticsNo
61223P0700XDentistProsthodonticsNo
71223S0112XDentistOral and Maxillofacial SurgeryNo
81223D0004XDentistDentist AnesthesiologistNo

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
101894164MEDICAIDNEW 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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