SOUTHERN DENTAL (NPI# 1336284025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336284025 |
| Entity Type | Organization |
| Organization Name | SOUTHERN DENTAL |
| Practice Address |
9920 4th Ave Brooklyn NY 11209-8333 |
| Practice Telephone | 7184392988 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2012-05-24 |
| Authorized Official Name | MS. SUN HWANG (ASSIST) |
| Authorized Official Telephone | 7184392988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 048586 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265616213 | Southern Dental | Dentist | 3320 W. Southern Avenue, Suite # 108, Phoenix, AZ 85041 | 2007-12-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Southern Dental Billing and Collections, LLC | |
| Alabama Business Registrations | Southern Dental Birmingham LLC | 4960 Valleydale Road, Birmingham, AL 35242 |
| Alabama Business Registrations | Southern Dental Sleep Associates LLC | |
| Virginia Business Entities | Southern Dental Temps LLC | 1501 Westpoint Stevens Rd, Drakes Branch, Virginia 23937 |
| Street Address |
9920 4TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11209-8333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051689 | Narrows Mri and Diagnostic Radiology, PC | Radiology | 9920 4th Ave, Brooklyn, NY 11209-8333 | 2005-05-23 |
| 1821603804 | Joseph Saladino | Physical Therapist | 9920 4th Ave, Brooklyn, NY 11209-8333 | 2020-09-15 |
| 1659806750 | Kayla Downing | Psychologist | 9920 4th Ave, Brooklyn, NY 11209 | 2017-04-26 |
| 1093249385 | Diana Haddad | Psychologist | 9920 4th Ave, Brooklyn, NY 11209-8333 | 2017-04-13 |
| 1003349986 | Bridgeview Dermatology, Pllc | Dermatology | 9920 4th Ave, Suite 313, Brooklyn, NY 11209-8333 | 2017-04-06 |
| 1891249348 | Michael Stasi | Physical Therapist | 9920 4th Ave, Brooklyn, NY 11209-8333 | 2016-08-12 |
| 1396118121 | Neha Katoch | Physical Therapist | 9920 4th Ave, Suite 103, Brooklyn, NY 11209-8333 | 2015-11-02 |
| 1962827089 | Nyc Wesley Medical P.C. | Radiology | 9920 4th Ave, Suite B, Brooklyn, NY 11209-8333 | 2014-02-26 |
| 1134556392 | Alfred M Raccuia | Physical Therapist | 9920 4th Ave, Brooklyn, NY 11209-8333 | 2013-10-02 |
| 1770917908 | Enrique Garcia | Physical Medicine & Rehabilitation | 9920 4th Ave, Suite 103, Brooklyn, NY 11209-8333 | 2013-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897737 | Antar, LLC | Optometrist | 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 | 2020-07-06 |
| 1184250540 | Daily Strength Physical Therapy Pllc | Physical Therapist | 343 Marshall Drive N #2a, Brooklyn, NY 11209 | 2020-03-18 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1932660917 | Kristen Elizabeth Dalelio | Social Worker | 9401 4th Ave Fl 1, Brooklyn, NY 11209 | 2019-03-30 |
| 1346706413 | Yelena Lobova | Specialist | 7100 Ridge Blvd Apt 3c, Brooklyn, NY 11209 | 2019-02-13 |
| 1841781648 | Ian Rugg Psychology Pllc | Psychologist | 545 73rd Street, Ground Floor, Brooklyn, NY 11209 | 2018-05-29 |
| 1194227520 | Constantinos Kokkinos | Social Worker | 37 72nd St Apt 1, Brooklyn, NY 11209 | 2018-03-01 |
| 1760905186 | Ankita Luthra | Student in an Organized Health Care Education/Training Program | 470 84th Street Brooklyn, New York, NY 11209 | 2017-07-18 |
| 1700308186 | Griselda Marleny Rodriguez Jorge | Social Worker | 1 74th Street, Apt 4m, Brooklyn, NY 11209 | 2017-07-07 |
| 1932629854 | Jonathan Dennehy | Social Worker | 307 West 38th Street, Suite 817, New York, NY 11209 | 2017-06-21 |
| Find all providers in zip 11209 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454475 | Mighty Smiles LLC | Dentist | 837 59th St Fl 3, Brooklyn, NY 11220-3611 | 2020-07-15 |
| 1073131967 | Oraleye, Inc. | Dentist | 300 Cadman Plz W Fl 121, Brooklyn, NY 11201-3229 | 2020-07-08 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1215562491 | Magnon Reyes Dds Pllc | Dentist | 2004 Mermaid Ave, Brooklyn, NY 11224-2595 | 2020-03-08 |
| 1093348088 | Natalia Maglevannaya | Dentist | 1719 Sheepshead Bay Rd, Brooklyn, NY 11235-3606 | 2020-02-18 |
| 1558909465 | Greene Ave Dental Pllc | Dentist | 335 Greene Ave, Brooklyn, NY 11238 | 2019-12-11 |
| 1093374548 | David Zhukovsky | Dentist | 1812 Quentin Rd Ste M1, Brooklyn, NY 11229-1336 | 2019-06-09 |
| 1295390706 | Leon Tuberman | Dentist | 464 Neptune Ave Apt 12g, Brooklyn, NY 11224-4306 | 2019-05-09 |
| 1740752732 | Mark Paul Quinn I | Dentist | 1314 E 70th St, Brooklyn, NY 11234-5704 | 2019-01-02 |
| 1083109375 | Zenab Khan | Dentist | 262 56th St Unit 3, Brooklyn, NY 11220-2615 | 2018-06-28 |
| 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.