PEDIATRIC DENTAL AND ASSOCIATES OF BROOKLYN PC NPI 1568822732

NPI Information

PEDIATRIC DENTAL AND ASSOCIATES OF BROOKLYN PC is a pediatric dentistry dentist in Brooklyn, NY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC DENTAL AND ASSOCIATES OF BROOKLYN PC NPI is 1568822732. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2464 CONEY ISLAND AVE
2ND FLOOR
BROOKLYN, NY
ZIP 11223-022
Phone: (718) 998-2424
Fax: (718) 998-9042

The provider's authorized official is Yury Slepak .
The authorized official title is President and has the following contact phone number (718) 998-2424.

The CLIA number assigned to this NPI record is 33D1060710 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2016 and was last updated on 3/2/2016.

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:

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