Litvinov Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044176 Issued in NY

Legal business name

LITVINOV DENTAL LLC

Practice address

333 East 79 St
Ste Lu
New York, NY 10021

Phone

(212) 744-5544

Fax

(212) 746-5556

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sergey E Litvinov, DDS

Title

Owner

Phone

(212) 744-5544

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821162645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 EAST 79 ST",
            "address_2": "STE LU",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-744-5544",
            "fax_number": "212-746-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EAST 79 ST",
            "address_2": "STE LU",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-744-5544",
            "fax_number": "212-746-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITVINOV DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITVINOV",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-744-5544",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01346510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Brooke Litvack
• Brandon Oleg Litvak, MD
• Harold Litvak, DMD
• Yuliya Litvak, RPA-C
• Anna Litvin, RPA-C
• Sergey Litvinov, DDS
• Alla V Litvinova, DDS
• Iryna Litvinova, LMSW
• Karina Litvinova, MD
• Larisa Litvinova

• General Practice Dentistry in New York, NY
• Providers in New York, 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 22, 2020; 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.