DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Dentist · BROOKLYN, NY

Registration Details

NPI Number
1063045268
Provider Type
Individual
Gender
Male
NPI Issued
Feb 16, 2020 (6.1766195801981 yrs)
Last Updated
Mar 27, 2025
License
061903 (NY)

Practice Information

Address
5824 14TH AVE
BROOKLYN, NY, 112194623
Browse NY providers · Browse ZIP 11219
Phone
7184388400
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in BROOKLYN, NY

Name Credential NPI
DR. RICHARD GARY ROSEN 1700881075
DR. MARTIN J SAPIR DMD 1336144385
DR. ANTHONY H FOSTER D.M.D 1396743589
DR. MATTHEW S LIEBERMAN DMD 1427056316
DR. NORMAN E JOHNSON DDS 1356333488
DR. MARK B BIRNBAUM DDS 1043202179
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.