General & Cosmetic Dental Office P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

044999 Issued in NY

Legal business name

GENERAL & COSMETIC DENTAL OFFICE P.C.

Practice address

4205 18TH Ave
Brooklyn, NY 11218-5719

Phone

(718) 437-6400

Fax

(718) 437-6444

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Leonid Fuks, D.D.S.

Title

Dentist

Phone

(718) 437-6400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982825485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185719",
            "telephone_number": "718-437-6400",
            "fax_number": "718-437-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185719",
            "telephone_number": "718-437-6400",
            "fax_number": "718-437-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL & COSMETIC DENTAL OFFICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUKS",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-437-6400",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "044999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01485134",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.