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NPI Code Detail

MEDICARE: NORTH BROOKLYN DENTAL CARE PC

MEDICARE: NORTH BROOKLYN DENTAL CARE PC
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1699494310
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH BROOKLYN DENTAL CARE PC
Provider Business Mailing Address
First Line : 169 KENT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-2105
Country : US
Telephone Number : 347-956-4756
Fax Number :
Provider Business Practice Location Address
First Line : 169 KENT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-2105
Country : US
Telephone Number : 347-956-4756
Fax Number :
Authorized Official
Title or Position : DOCTOR/OWNER
Name : BRYAN STIMMLER
Credential : DDS
Telephone Number : 347-956-4756
Provider Enumeration Date : 08/25/2022
Last Update Date : 09/01/2022

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Directions to “NORTH BROOKLYN DENTAL CARE PC ” Practice Location

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