MEDICARE: MODERN DENTISTRY VAS OF BROOKLYN, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223D0001X	Public Health Dentistry

General Provider Information

NPI Number	:	1508642067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MODERN DENTISTRY VAS OF BROOKLYN, PLLC

Provider Business Mailing Address
First Line	:	355 OVINGTON AVE STE 100
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-1457
Country	:	US
Telephone Number	:	718-836-7109
Fax Number	:

Provider Business Practice Location Address
First Line	:	1997 OCEAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-7385
Country	:	US
Telephone Number	:	718-339-6000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VINCENT ANTHONY SETTECASE SR.
Credential	:	DDS
Telephone Number	:	347-909-2848

Provider Enumeration Date	:	08/31/2023
Last Update Date	:	08/31/2023

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