Organization Active NPI

Bruce J Lish DDS PLLC

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1457747198
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
045725 Issued in NY
Legal business name
BRUCE J LISH DDS PLLC
Practice address
7224 Avenue T
Brooklyn, NY 11234-6235
Phone
(718) 763-1817
Fax
(917) 591-4970
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. Bruce J Lish, DDS
Title
Owner
Phone
(718) 763-1817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 045725 NY Primary

Addresses

Primary practice location

7224 Avenue T
Brooklyn, NY 11234-6235

Mailing address

7224 Avenue T
Brooklyn, NY 11234-6235
Phone (718) 763-1817

National Provider Directory

National Provider Directory

Locations

7224 Avenue T
Brooklyn, NY 11234
Phone (718) 763-1817

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1457747198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7224 AVENUE T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346235",
            "telephone_number": "718-763-1817",
            "fax_number": "917-591-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7224 AVENUE T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346235",
            "telephone_number": "718-763-1817",
            "fax_number": "917-591-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE J LISH DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "LISH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-763-1817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "045725",
            "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 Apr 9, 2015; 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.