Little Tooth Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LITTLE TOOTH PEDIATRIC DENTISTRY PLLC

Doing business as

Fort Greene Pediatric Dentistry PLLC

Practice address

55 Greene Ave Ste LLC
Brooklyn, NY 11238-6432

Phone

(718) 230-7676

Fax

(718) 230-7776

NPI assigned

May 9, 2019

Last updated

May 9, 2019By 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. Pavel Zeylikman, DMDNPI 1881086023

Title

President

Phone

(917) 326-0205

Specialties & licenses 1

Addresses

Other names 1

• Fort Greene Pediatric Dentistry PLLC Doing business as

Tax ID family

Fort Greene Pediatric Dentistry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Little Tooth Pediatric Dentistry PLLC

  • Dental Clinic/Center
  • Kew Gardens, NY
  • NPI 1679308167
  NPD tax ID

Locations

Practitioners 2

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.

• Pavel Zeylikman, DMD

  • Pediatric Dentistry
  • Jamaica, NY
  • NPI 1881086023
  NPD Authorized official
• Untray Tyrone Brown, DDS

  • Pediatric Dentistry
  • San Francisco, CA
  • NPI 1841214087
  NPD (past)

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1811552367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GREENE AVE STE LLC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386432",
            "telephone_number": "718-230-7676",
            "fax_number": "718-230-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GREENE AVE STE LLC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386432",
            "telephone_number": "718-230-7676",
            "fax_number": "718-230-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE TOOTH PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "ZEYLIKMAN",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-326-0205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Greene Pediatric Dentistry PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Little Tweedle LLC
• Charnelle Little
• Courtney Little, LMSW
• Jeannelle Keisha Little, MSED
• Josephine Little, LCSW

• Pediatric Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.