Dental Office

Primary specialty

DentistTaxonomy code 122300000X

License

044215 Issued in NY

Legal business name

DENTAL OFFICE

Practice address

1810 Jerome Ave FL 1
Brooklyn, NY 11235-3621

Phone

(718) 646-0900

Fax

(718) 769-9723

NPI assigned

Feb 2, 2016

Last updated

Feb 2, 2016By 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. Yevgeny Avdeychik, DDSNPI 1689655482

Title

Dentist

Phone

(718) 646-0900

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Yevgeny Avdeychik, DDS

  • Dentist
  • Brooklyn, NY
  • NPI 1689655482
  Authorized official Same address or phone

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1710345087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 JEROME AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353621",
            "telephone_number": "718-646-0900",
            "fax_number": "718-769-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 JEROME AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353621",
            "telephone_number": "718-646-0900",
            "fax_number": "718-769-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "AVDEYCHIK",
        "authorized_official_first_name": "YEVGENY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-646-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "044215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01354269",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Care PLLC
• Dental Center of Brooklyn
• Dental Health PC
• Dental Innovation PC
• Dental Matters PC
• Dental Practice PLLC
• Dental Sleep Medicine Center for Snoring and Sleep Apnea LLC
• Dental Sleep Medicine Center for Snoring and Sleep Apnea LLC
• Dental Sleep Medicine Center for Snoring and Sleep Apnea LLC
• Dental Specialty Associates PC

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.