MEDICARE: DR. LANCE JEFF ADELSON D.M.D.

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	1223P0300X	Periodontics	030952	NY
2	1223P0300X	Periodontics	D11966	NJ

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	:	1740252949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANCE JEFF ADELSON D.M.D.

Provider Business Mailing Address
First Line	:	2818 OCEAN AVE
Second Line	:	SUITE 3
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3170
Country	:	US
Telephone Number	:	718-769-0777
Fax Number	:	718-769-0778

Provider Business Practice Location Address
First Line	:	2818 OCEAN AVE
Second Line	:	SUITE 3
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3170
Country	:	US
Telephone Number	:	718-769-0777
Fax Number	:	718-769-0778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1811986458 — ANUP R GHEEWALA MD
Practice Location Address:

2818 OCEAN AVE , SUITE#7
BROOKLYN, NY
11235-3170

Practice Phone: 718-616-2330
Practice Fax: 718-332-2923

1982621512 — DR. PRATAP KUMAR GADANGI MD
Practice Location Address:

2818 OCEAN AVE , 7
BROOKLYN, NY
11235-3170

Practice Phone: 718-332-6207
Practice Fax: 718-332-2923

1003823378 — MR. MICHAEL GORE PA
Practice Location Address:

2818 OCEAN AVE , SUITE #1
BROOKLYN, NY
11235-3170

Practice Phone: 718-934-8484
Practice Fax:

1295897155 — DR. MICHAEL RISKEVICH D.O
Practice Location Address:

2818 OCEAN AVE STE 1
BROOKLYN, NY
11235-3170

Practice Phone: 718-934-8484
Practice Fax: 718-934-4267

1356489173 — RIM MEDICAL PC
Practice Location Address:

2818 OCEAN AVE STE 1
BROOKLYN, NY
11235-3170

Practice Phone: 718-934-8484
Practice Fax: 718-934-4267

1457549065 — OCEAN MANAGEMENT GROUP, INC
Practice Location Address:

2818 OCEAN AVE , SUITE # 1
BROOKLYN, NY
11235-3170

Practice Phone: 718-934-8484
Practice Fax: 718-934-4267

Directions to “ DR. LANCE JEFF ADELSON D.M.D.” 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 © 2007-2025 (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.