Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACQUES DOUECK, D.D.S.
Deactivated Sole ProprietorDR. JACQUES DOUECK, D.D.S. is a General Dentistry healthcare provider located in BROOKLYN, New York. NPI 1093718967 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · BROOKLYN, NY
This NPI has been deactivated.
The record was deactivated on March 16, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1093718967
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2005 (0.81095890410959 yrs)
- Last Updated
- Mar 13, 2012
- Deactivated
- Mar 16, 2006
- License
-
032954NY (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
563 KINGS HWYBROOKLYN, NY, 112232003Browse NY providers · Browse ZIP 11223
- Phone
- 7183397982
- Fax
- 7183757742
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BROOKLYN, NY
| Name | Credential | NPI |
|---|---|---|
| DR. MARK HOWARD BORNFELD | D.D.S. | 1427050541 |
| DR. RAYMOND STEVEN KRIETCHMAN | D.D.S. | 1932101185 |
| DR. STEVEN E. BORNFELD | D.D.S. | 1669476503 |
| DR. STEVEN GOUNARDES | DDS | 1821093261 |
| DR. JACK IRWIN | DDS | 1154326957 |
| JESSICA KRIETCHMAN-SENECA | D.D.S. | 1770589046 |
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.