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Contact Information

BROOKLYN DENTAL HOME PC
3755 82ND ST FL 2
JACKSON HEIGHTS, NY11372-7031
 Phone: 718-703-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for BROOKLYN DENTAL HOME PC · (Female)

NPI Number 1205798030
Status Active
Credentials
Entity Individual
Enumeration date 12/01/2025
Last updated 12/01/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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