Healthcare Provider Details

I. General information

NPI: 1013868827
Provider Name (Legal Business Name): WILLIAMSBURG SMILES FAMILY DENTISTRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 LIVINGSTON ST STE 100
BROOKLYN NY
11201-7000
US

IV. Provider business mailing address

177 LIVINGSTON ST STE 100
BROOKLYN NY
11201-7000
US

V. Phone/Fax

Practice location:
  • Phone: 347-536-7489
  • Fax:
Mailing address:
  • Phone: 347-536-7489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSHANJIT BUTTER
Title or Position: OWNER
Credential:
Phone: 347-536-7489