MEDICARE: STARRETT CITY DENTAL GROUP

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	122300000X	Dentist	026132	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548451933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARRETT CITY DENTAL GROUP

Provider Business Mailing Address
First Line	:	1390 PENNSYLVANIA AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11239
Country	:	US
Telephone Number	:	718-642-8600
Fax Number	:	718-942-1425

Provider Business Practice Location Address
First Line	:	1390 PENNSYLVANIA AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11239-2103
Country	:	US
Telephone Number	:	718-642-8600
Fax Number	:	718-942-1425

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MELVYN C STROPNSKY
Credential	:	DDS
Telephone Number	:	718-642-8600

Provider Enumeration Date	:	08/09/2007
Last Update Date	:	08/09/2007

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Directions to “STARRETT CITY DENTAL GROUP ” Practice Location

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