M M Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

044784 Issued in NY

Legal business name

M M DENTAL PC

Practice address

50 Shore Blvd
Lobby
Brooklyn, NY 11235-4057

Phone

(718) 769-9777

Fax

(718) 769-9777

NPI assigned

Dec 19, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Meyler, DDSNPI 1174779185

Title

President

Phone

(718) 769-9777

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Meyler, D.D.S.

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1174779185
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003892381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SHORE BLVD",
            "address_2": "LOBBY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354057",
            "telephone_number": "718-769-9777",
            "fax_number": "718-769-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SHORE BLVD",
            "address_2": "LOBBY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354057",
            "telephone_number": "718-769-9777",
            "fax_number": "718-769-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M M DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-769-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01452368",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.