MEDICARE: ZOLOTAR DENTAL CARE

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	122300000X	Dentist

General Provider Information

NPI Number	:	1861214595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOLOTAR DENTAL CARE

Provider Business Mailing Address
First Line	:	1711 NEWKIRK AVE STE 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-6613
Country	:	US
Telephone Number	:	718-797-2880
Fax Number	:	718-797-2885

Provider Business Practice Location Address
First Line	:	1711 NEWKIRK AVE STE 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-6613
Country	:	US
Telephone Number	:	718-797-2880
Fax Number	:	718-797-2885

Authorized Official
Title or Position	:	DENTIST
Name	:	REGINA SAVCHUK
Credential	:
Telephone Number	:	718-797-2880

Provider Enumeration Date	:	10/24/2024
Last Update Date	:	10/24/2024

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Directions to “ZOLOTAR DENTAL CARE ” Practice Location

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