Alfa Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052096 Issued in NY

Legal business name

ALFA DENTAL PC

Practice address

2792 Ocean Ave
Suite 1
Brooklyn, NY 11229-4708

Phone

(718) 332-2532

NPI assigned

Aug 9, 2009

Last updated

Aug 9, 2009By 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. Svetlana Bogomolova, DDSNPI 1982727228

Title

President

Phone

(718) 332-2532

Specialties & licenses 1

Addresses

Locations

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.

• Svetlana Bogomolova, DDS

  • Dentist
  • Brooklyn, NY
  • NPI 1982727228
  NPD (past) Authorized official

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

{
    "created_epoch": "1249776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249776000000",
    "number": "1427280452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2792 OCEAN AVE",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294708",
            "telephone_number": "718-332-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 OCEAN AVE",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294708",
            "telephone_number": "718-332-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-09",
        "last_updated": "2009-08-09",
        "status": "A",
        "authorized_official_last_name": "BOGOMOLOVA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-332-2532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Alexis, LPN
• Wanda Alexis, M.S.ED
• Palaiologos Alexopoulos, MD
• Ofelya Aleyan, RN
• Daniel N Aleynick
• Alfa Rehab PT, P.C.
• Alsheikhaltayeb Azhari Mubarak Alfadil
• Patricia Ann Alfano, O.T.
• Peter Alfano
• Nicole Alfieri, M.A., CF-SLP

• 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 Aug 9, 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.