CLINTON STREET DENTAL PLLC (NPI# 1194324400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194324400 |
| Entity Type | Organization |
| Organization Name | CLINTON STREET DENTAL PLLC |
| Practice Address |
139 Clinton St Ste 1 Brooklyn NY 11201 |
| Practice Telephone | 7186256437 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | ELEANOR REID (OWNER) |
| Authorized Official Telephone | 7186256437 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CLINTON STREET DENTAL PLLC | 44 Court St, Ste 808, Brooklyn, New York 11201 |
| Street Address |
139 CLINTON ST STE 1 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629147335 | Joann M. Deleonibus | Dentist | 139 Clinton St, Brooklyn, NY 11201-4616 | 2006-11-07 |
| 1477695781 | Sol David Haber | Dentist | 139 Clinton St, Brooklyn, NY 11201-4616 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382143 | Weon Jae Choi | Dentist | 22 N 6th St Apt 9o, Brooklyn, NY 11249-3083 | 2020-09-29 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1891195541 | Charles Walowitz | Dentist | 1 Grand Army Plz, Apt 5-c, Brooklyn, NY 11238-5611 | 2014-08-31 |
| 1306256797 | Lior Furman | Dentist | 7506 Avenue T, Brooklyn, NY 11234-6207 | 2014-05-06 |
| 1790064376 | Gary Alan Nord Jr. | Dentist | 127 Meserole St, Apt #2b, Brooklyn, NY 11206-2189 | 2011-08-12 |
| 1003065087 | Antonella Milio | Dentist | 3030 Emmons Ave Apt 4u, Brooklyn, NY 11235-2227 | 2008-09-15 |
| 1790992022 | Alan S Broner | Dentist | 773 Montgomery St, Brooklyn, NY 11213-5278 | 2007-05-17 |
| 1205904208 | Charles Frederick Grannum | Dentist | 1536 Bedford Ave, Brooklyn, NY 11216-4117 | 2006-11-30 |
| 1295723203 | Antoine E Chiha | Dentist | 8440 Fort Hamilton Pkwy, Brooklyn, NY 11209-4806 | 2005-10-12 |
| 1669746533 | Edward S. Stiel | Dentist | 2469 65th St, Brooklyn, NY 11204-4170 | 2012-02-23 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.