Ace Dental Office P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055571 Issued in NY

Legal business name

ACE DENTAL OFFICE P.C.

Practice address

608 E New York Ave
Brooklyn, NY 11203-1106

Phone

(718) 749-7329

Fax

(718) 513-4396

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Efraim Fuzailov

Title

DDS

Phone

(718) 679-4585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1265702591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031106",
            "telephone_number": "718-749-7329",
            "fax_number": "718-513-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031106",
            "telephone_number": "718-749-7329",
            "fax_number": "718-513-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE DENTAL OFFICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "FUZAILOV",
        "authorized_official_first_name": "EFRAIM",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "718-679-4585",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.