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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

NPI # 1205798030
LBN Legal business name BROOKLYN DENTAL HOME PC
Authorized official ARIEL AMINOV - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2025
Last updated 12/01/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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