Organization · NPI-2

21st Century Dentalof Flatbush

Dentist, General Practice · Brooklyn, NY

NPI number1124521083
StatusActive
Last updated in NPPESMar 16, 2018

Details

NPI
1124521083
Entity type
Organization (NPI-2)
Legal business name
21st Century Dentalof Flatbush
Organization subpart
No
Enumeration date
Mar 16, 2018
Last updated
Mar 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes
122300000X Dentist––

Practice location

380 E 18th St Apt Ld
Brooklyn, NY 11226-5770

Phone 718-287-4220

Mailing address

380 E 18th St Apt Ld
Brooklyn, NY 11226-5770

Authorized official

Daniel E Wank
Dentist Owner
7182411203

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, General Practice providers in Brooklyn, NY