Healthcare Provider Details

I. General information

NPI: 1942122692
Provider Name (Legal Business Name): DBM MANAGEMENT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7708 4TH AVE
BROOKLYN NY
11209-3402
US

IV. Provider business mailing address

7708 4TH AVE
BROOKLYN NY
11209-3402
US

V. Phone/Fax

Practice location:
  • Phone: 718-491-3100
  • Fax: 718-491-3599
Mailing address:
  • Phone: 718-491-3100
  • Fax: 718-491-3599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
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: MICHAEL NOSOV
Title or Position: OWNER
Credential: DDS
Phone: 646-250-5033