MEDICARE: DR. EVAN MICHAEL TEMKIN D.M.D.

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	042445-1	NY
2	332BC3200X	Customized Equipment (DME)	22DI02988900	NJ
3	332BC3200X	Customized Equipment (DME)	042445	NY

General Provider Information

NPI Number	:	1366652406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVAN MICHAEL TEMKIN D.M.D.

Provider Business Mailing Address
First Line	:	441 CENTRAL PARK AVE UNIT 351
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10530-7725
Country	:	US
Telephone Number	:	516-840-6004
Fax Number	:	646-224-8474

Provider Business Practice Location Address
First Line	:	1053 SAW MILL RIVER RD
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1048
Country	:	US
Telephone Number	:	516-840-6004
Fax Number	:	646-224-8474

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	01/09/2026

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