Organization Active NPI

First Impression Dental PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1275864647
Registry record updated Jan 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
038368 Issued in NY
Legal business name
FIRST IMPRESSION DENTAL PC
Practice address
719 Franklin Ave
Brooklyn, NY 11238-4704
Phone
(718) 230-0908
Fax
(718) 230-0953
NPI assigned
Jan 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2010

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

Authorized official

Name
Dr. Diane S French-McLean, DDS
Title
President
Phone
(718) 230-0908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 038368 NY Primary

Addresses

Primary practice location

719 Franklin Ave
Brooklyn, NY 11238-4704

Mailing address

719 Franklin Ave
Brooklyn, NY 11238-4704
Phone (718) 230-0908

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264291200000",
    "number": "1275864647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 FRANKLIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384704",
            "telephone_number": "718-230-0908",
            "fax_number": "718-230-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 FRANKLIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384704",
            "telephone_number": "718-230-0908",
            "fax_number": "718-230-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST IMPRESSION DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-24",
        "last_updated": "2010-01-24",
        "status": "A",
        "authorized_official_last_name": "FRENCH-MCLEAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-230-0908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

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