Healthcare Provider Details

I. General information

NPI: 1083898670
Provider Name (Legal Business Name): VALERIE VENTERINA, DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8510 - BAY 16 ST.
BROOKLYN NY
11214
US

IV. Provider business mailing address

8510 - BAY 16 ST.
BROOKLYN NY
11214
US

V. Phone/Fax

Practice location:
  • Phone: 718-232-8289
  • Fax: 718-228-7453
Mailing address:
  • Phone: 718-232-8289
  • Fax: 718-228-7453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number036126
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number17121
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number033102
License Number StateNY

VIII. Authorized Official

Name: DR. VALERIE ANN VENTERINA
Title or Position: OWNER
Credential: DDS
Phone: 718-232-8289