SMILE BROOKLYN DENTAL, PC (NPI# 1376927194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376927194 |
Entity Type | Organization |
Organization Name | SMILE BROOKLYN DENTAL, PC |
Other Organization Name | INTERFAITH DENTAL, P.C. |
Practice Address |
1545 Atlantic Ave East Building Brooklyn NY 11213-1122 |
Practice Telephone | 7186137140 |
Practice Fax Number | 7185046259 |
Mailing Telephone | 7186137140 |
Mailing Fax Number | 7185046259 |
Enumeration Date | 2015-07-10 |
Last Update Date | 2015-07-10 |
Authorized Official Name | DR. DAVID JOSEPH MILLER (CHAIRMAN OF DENTAL MEDICINE) |
Authorized Official Telephone | 7186137385 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
NY | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Interfaith Dental, P.C. | Doing Business As Name - Organization |
Street Address |
1545 ATLANTIC AVE EAST BUILDING |
City | BROOKLYN |
State | NY |
Zip Code | 11213-1122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558366575 | David R Trauber | Internal Medicine | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2005-06-16 |
1104426196 | Isaiah Jacoby Hammonds | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-10-28 |
1376159962 | Amita Arora | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-18 |
1922613389 | Amulya Lakshmi Bellamkonda | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-12 |
1881208007 | Binit Aryal | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-04 |
1245843499 | Pooja Kc | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-27 |
1811500127 | Aakriti Shrestha | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-26 |
1326651969 | Unknown Tsering Dolkar | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
1063025625 | Roshan Bisural | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
1306459979 | Samaj Adhikari | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885262 | Zaire Hairston | Counselor | 1625 President Street Brooklyn, Ny 11213 Apt 3a, 1625 President Street Brooklyn, Ny 11213 Apt 3a, Brooklyn, NY 11213 | 2020-06-09 |
1447801394 | Rron Lleshi | Physician Assistant | 1635 Union Street, Apt 1a, Brooklyn, NY 11213 | 2019-09-23 |
1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
1073097572 | Mariia Tonkonog | Specialist | 878 Easetern Pkwy, Brooklyn, NY 11213 | 2018-09-20 |
1114413234 | Rimma Salganik | Social Worker | Bright Futures for The Children, 119 Schenectady Ave, Brooklyn, NY 11213 | 2018-07-02 |
1861980138 | Ibrahim Elkattawy | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # 11213, Brooklyn, NY 11213 | 2018-04-23 |
1528571858 | Rivkah Shuchat | Physical Therapist | Homecare, Brooklyn, NY 11213 | 2017-11-08 |
1356854699 | Lisa Watler | Physical Therapy Assistant | 1470 Union Street, Brooklyn, NY 11213 | 2017-11-08 |
1962914713 | Rockaway Ave Pharmacy Inc | Pharmacist | 226 Schenectady Ave, Brooklyn, NY 11213 | 2017-11-02 |
1649796152 | Janet Agbaku | Registered Nurse | 893 Eastern Parkway, Fl 2, Brooklyn, NY 11213 | 2017-08-16 |
Find all providers in zip 11213 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104442706 | Igor Dekhkanov Dds PC | Clinic/Center | 438 Graham Ave Fl 1, Brooklyn, NY 11211-1415 | 2020-06-19 |
1366092850 | Wanyun Xue Dental P.C. | Clinic/Center | 396 Court St, Brooklyn, NY 11231-4206 | 2019-09-17 |
1528621588 | Nash Dental P.C. | Clinic/Center | 226 Livingston St Apt 1, Brooklyn, NY 11201-5877 | 2019-04-16 |
1598239493 | Nyc Dental Group Pllc | Clinic/Center | 401 76th St Ste 1a, Brooklyn, NY 11209-3215 | 2019-01-15 |
1215409933 | Always Smile Dental Pllc | Clinic/Center | 1580 Dahill Rd Fl 1, Brooklyn, NY 11204-3573 | 2018-12-19 |
1053889295 | M.i.n Dental, PC | Clinic/Center | 131 6th Ave, Brooklyn, NY 11217-3522 | 2018-11-06 |
1639676455 | Warren Street Dental Pllc | Clinic/Center | 293 Court St, Brooklyn, NY 11231-4407 | 2018-04-09 |
1295264216 | Smile By Design Dentistry, P.C. | Clinic/Center | 1603 Mcdonald Ave, Brooklyn, NY 11230-6310 | 2017-06-05 |
1407397581 | Matthew Bellafiore Dds PC | Clinic/Center | 185 Montague St # F3, Brooklyn, NY 01121-3608 | 2017-03-09 |
1780053108 | Sbk Dental, LLC | Clinic/Center | 385 4th Ave, Unit 2, Brooklyn, NY 11215-3201 | 2015-09-15 |
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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.