JONATHAN S. WALTNER DDS PC (NPI# 1457960072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457960072 |
| Entity Type | Organization |
| Organization Name | JONATHAN S. WALTNER DDS PC |
| Practice Address |
390 Berry St Ste B Brooklyn NY 11249-6086 |
| Practice Telephone | 7182187210 |
| Practice Fax Number | 7182187387 |
| Mailing Telephone | 7182187210 |
| Mailing Fax Number | 7182187387 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | DR. JONATHAN WALTNER (OWNER) |
| Authorized Official Telephone | 7182187210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02606040 | 05 |
| Other Name | Type Code |
|---|---|
| Williamsburg Pediatric Dental | Doing Business As Name - Organization |
| Street Address |
390 BERRY ST STE B |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11249-6086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568950186 | Donna Chen | Dentist | 390 Berry St Ste B, Brooklyn, NY 11249-6086 | 2018-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960819 | Marijana Skok | Dentist | 155 N 7th St 2nd Floor, Brooklyn, NY 11249 | 2020-04-14 |
| 1184186496 | Oda Primary Health Care Network, Inc. | Clinic/Center | 74 Wallabout Street, Brooklyn, NY 11249 | 2019-04-04 |
| 1164900593 | X Factor Corp | Pharmacy | 97 S 3rd St # 99, Brooklyn, NY 11249 | 2018-07-28 |
| 1417469933 | Aida Arroyo | Registered Nurse | 121 Wilson Street, 21c, Brooklyn, NY 11249 | 2017-10-25 |
| 1295245686 | Weronika Wlodarczyk | Chiropractor | 111 N 7th Street, Brooklyn, NY 11249 | 2017-10-11 |
| 1477972503 | Marilyn Lizardo | Specialist | 43 South 9th Street, Brooklyn, NY 11249 | 2014-04-16 |
| 1144573072 | Home Meds LLC | Pharmacy | 97 S 3rd St, Brooklyn, NY 11249 | 2012-10-16 |
| 1588988711 | Richard Di Napoli | Pharmacist | 250-bedford Ave, Brooklyn, NY 11249 | 2010-03-17 |
| 1295996957 | Daniel Joseph Culliford | Psychiatry & Neurology | 184 Kent Ave Apt B414, Brooklyn, NY 11249 | 2008-06-24 |
| 1881708642 | Excellent Home Care Services, LLC | Home Health | 91-93 South Third Street, Excellent Home Care Services, LLC, Brooklyn, NY 11249 | 2006-08-18 |
| Find all providers in zip 11249 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568950186 | Donna Chen | Dentist | 390 Berry St Ste B, Brooklyn, NY 11249-6086 | 2018-04-30 |
| 1801316419 | Kinderee Family Dentistry | Dentist | 2905 Fort Hamilton Pkwy, Brooklyn, NY 11218-1681 | 2017-06-24 |
| 1265989008 | Julia Dental Pediatrics | Dentist | 310 Brighton Beach Ave, Brooklyn, NY 11235-7450 | 2016-09-09 |
| 1386090504 | Melissa Levinsky | Dentist | 220 72nd St Apt A2, Brooklyn, NY 11209-2140 | 2016-05-05 |
| 1265896849 | Esther Yun | Dentist | 250 N 10th St Apt 332, Brooklyn, NY 11211-2822 | 2016-04-08 |
| 1770946931 | Yellow Bear Pediatric Dentistry, Pllc | Dentist | 331 Knickerbocker Ave, Suite 3b, Brooklyn, NY 11237-3601 | 2016-04-04 |
| 1568822732 | Pediatric Dental and Associates of Brooklyn PC | Dentist | 2464 Coney Island Ave, 2nd Floor, Brooklyn, NY 11223-5022 | 2016-03-02 |
| 1750757761 | Cai Huan Zhang | Dentist | 235 Adams St Apt 5k, Brooklyn, NY 11201-2876 | 2015-08-12 |
| 1073996625 | Park Slope Kids Dental Care | Dentist | 150 Fouth Ave, Brooklyn, NY 11217-3145 | 2015-07-01 |
| 1740661172 | Carter Le | Dentist | 834 Flatbush Ave, Brooklyn, NY 11226-3102 | 2015-06-11 |
| 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.