B. Souferian DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

005040 Issued in NY

Legal business name

B. SOUFERIAN DDS PC

Practice address

8301 3Rd Ave
Brooklyn, NY 11209-4402

Phone

(718) 921-0111

Fax

(718) 921-7254

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert B Souferian, 050040NPI 1649261231

Title

President

Phone

(718) 921-0111

Specialties & licenses 1

Addresses

Other names 1

• Family Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Babak Souferian, DDS

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1649261231
  NPD (past) Authorized official

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1063728368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094402",
            "telephone_number": "718-921-0111",
            "fax_number": "718-921-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094402",
            "telephone_number": "718-921-0111",
            "fax_number": "718-921-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. SOUFERIAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "SOUFERIAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-921-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "050040"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "005040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• B.D. Manual Rehab Physical Therapy
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• B.G.Way PT. PC.
• B'Klyn Eye Boutique, Inc.
• B& H Healtcare Services Inc

• 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 24, 2010; 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.