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General NPI Number Information
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NPI Number | 1366589038
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Entity Type | Organization
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Legal Business Name | BROOKLYN DENTAL SERVICES PC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 506 6TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-3609
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Country | US
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Telephone | 718-780-5410
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Fax |
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Provider Business Mailing Address
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Address Line | 2649 STRANG BLVD STE 304
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-2938
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Country | US
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Telephone | 717-625-3999
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Fax | 717-625-3986
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Authorized Official
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Title or Position | CHIEF
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Name | JAMES SCONZO
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Credential |
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Telephone | 718-780-5410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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