MEDICARE: UNITED DENTAL SERVICES OF NY

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	1223G0001X	General Practice Dentistry	0466662	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558444232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED DENTAL SERVICES OF NY

Provider Business Mailing Address
First Line	:	1505 GRAVESEND NECK RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229
Country	:	US
Telephone Number	:	718-336-6321
Fax Number	:	718-627-2129

Provider Business Practice Location Address
First Line	:	1505 GRAVESEND NECK RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229
Country	:	US
Telephone Number	:	718-336-6321
Fax Number	:	718-627-2129

Authorized Official
Title or Position	:	DENTIST
Name	:	VALENTIN BAXMAN
Credential	:	DDS
Telephone Number	:	718-336-6321

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1316888043 — SOFIA SAFONOVA FNP
Practice Location Address:

2211 OCEAN AVE
BROOKLYN, NY
11229-2333

Practice Phone: 917-607-1007
Practice Fax:

1174464770 — JANELLE MITCHELL
Practice Location Address:

1623 KINGS HWY
BROOKLYN, NY
11229-1209

Practice Phone: 929-636-5917
Practice Fax:

1720929342 — NICOLE ROSADO
Practice Location Address:

2242 BRAGG ST APT 3E
BROOKLYN, NY
11229-5418

Practice Phone: 347-854-6949
Practice Fax:

1952793044 — ROMAN OFFENGEYM
Practice Location Address:

1711 KINGS HWY STE 2
BROOKLYN, NY
11229-1232

Practice Phone: 929-333-9686
Practice Fax: 929-333-9684

1578405817 — MIG-RX CORP
Practice Location Address:

1811 KINGS HWY
BROOKLYN, NY
11229-1307

Practice Phone: 718-382-9999
Practice Fax: 718-382-9988

1952243172 — CELINA HU
Practice Location Address:

2555 OCEAN AVE STE 206
BROOKLYN, NY
11229-4585

Practice Phone: 888-720-2095
Practice Fax: 813-723-1260

1871989079 — DR. ALLEN J WEISS D.O.
Practice Location Address:

2736 OCEAN AVE STE 1A
BROOKLYN, NY
11229-4705

Practice Phone: 347-978-0122
Practice Fax:

Directions to “UNITED DENTAL SERVICES OF NY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.