PNL Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047116 Issued in NY

Legal business name

PNL DENTAL P.C.

Practice address

2101 Bay Ridge Pkwy
Brooklyn, NY 11204-5955

Phone

(718) 232-6996

Fax

(718) 232-6440

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Vladimir Dranovsky

Title

Owner

Phone

(718) 232-6996

Specialties & licenses 1

Addresses

Other names 1

• PNL Dental Other name

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1780849638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045955",
            "telephone_number": "718-232-6996",
            "fax_number": "718-232-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045955",
            "telephone_number": "718-232-6996",
            "fax_number": "718-232-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNL DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "DRANOVSKY",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-232-6996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PNL Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.