Organization Active NPI

Perfect Dental Care, P.C.

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1366678229
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
047879 Issued in NY
Legal business name
PERFECT DENTAL CARE, P.C.
Practice address
2300 W 7TH St FL 1
Brooklyn, NY 11223-4628
Phone
(718) 872-0460
Fax
(718) 872-0463
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Dmitriy Volotsenko, DDS
Title
Owner
Phone
(718) 872-0460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 047879 NY Primary

Addresses

Primary practice location

2300 W 7TH St FL 1
Brooklyn, NY 11223-4628

Mailing address

2300 W 7TH St FL 1
Brooklyn, NY 11223-4628
Phone (718) 872-0460

Other identifiers 1

IdentifierTypeStateIssuer
02458455MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1366678229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W 7TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234628",
            "telephone_number": "718-872-0460",
            "fax_number": "718-872-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W 7TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234628",
            "telephone_number": "718-872-0460",
            "fax_number": "718-872-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "VOLOTSENKO",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-872-0460",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "047879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02458455",
            "state": "NY"
        }
    ],
    "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 Jun 5, 2009; 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.