MEDICARE: CHURCH AVENUE FAMILY DENTAL P.C

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	1223G0001X	General Practice Dentistry	050877	NY

General Provider Information

NPI Number	:	1053584409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHURCH AVENUE FAMILY DENTAL P.C

Provider Business Mailing Address
First Line	:	1025 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-2711
Country	:	US
Telephone Number	:	718-469-6077
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-2711
Country	:	US
Telephone Number	:	718-469-6077
Fax Number	:

Authorized Official
Title or Position	:	D.D.S
Name	:	FARSHID ASSADERAGHI
Credential	:
Telephone Number	:	718-469-6077

Provider Enumeration Date	:	04/07/2008
Last Update Date	:	04/07/2008

Similar Medicare Providers

1841263555 — DR. MEYER KOLLMAN O.D.
Practice Location Address:

1023 CHURCH AVE
BROOKLYN, NY
11218-2711

Practice Phone: 718-826-1234
Practice Fax:

1285763995 — KOLLMAN, MEYER O.D.
Practice Location Address:

1023 CHURCH AVE
BROOKLYN, NY
11218-2711

Practice Phone: 718-826-1234
Practice Fax: 718-826-0324

1992928741 — DAVID ASAD
Practice Location Address:

1025 CHURCH AVE
BROOKLYN, NY
11218-2711

Practice Phone: 718-469-6077
Practice Fax: 718-462-1785

1053539650 — DR. FARSHID ASSADERAGHI D.D.S
Practice Location Address:

1025 CHURCH AVE
BROOKLYN, NY
11218-2711

Practice Phone: 718-469-6077
Practice Fax: 718-462-1785

1972057537 — SAV PHARMACY INC
Practice Location Address:

1001 CHURCH AVE
BROOKLYN, NY
11218-2711

Practice Phone: 718-856-2976
Practice Fax: 718-856-6526

1457941866 — NIDAL M ADAM PHARMACIST
Practice Location Address:

1001 CHURCH AVE
BROOKLYN, NY
11218-2711

Practice Phone: 718-856-2976
Practice Fax:

Directions to “CHURCH AVENUE FAMILY DENTAL P.C ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.