MEDICARE: DR. ARTHUR H KUBIKIAN D.D.S.

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	031897	NY
2	1223E0200X	Endodontics	031897	NY

General Provider Information

NPI Number	:	1235175407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR H KUBIKIAN D.D.S.

Provider Business Mailing Address
First Line	:	100 CARLYLE DRIVE
Second Line	:	9 MN
City	:	CLIFFSIDE PARK
State	:	NJ
Zip	:	07010-3284
Country	:	US
Telephone Number	:	516-527-7397
Fax Number	:	718-729-8688

Provider Business Practice Location Address
First Line	:	345 EAST 24TH STREET
Second Line	:	7W
City	:	NEW YORK CITY
State	:	NY
Zip	:	10010
Country	:	US
Telephone Number	:	212-998-9428
Fax Number	:	718-729-8688

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	10/15/2019

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