MEDICARE: TITANIUM DENTAL PLLC

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

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	:	1790636553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TITANIUM DENTAL PLLC

Provider Business Mailing Address
First Line	:	107 LAKE AVE
Second Line	:
City	:	TUCKAHOE
State	:	NY
Zip	:	10707-3915
Country	:	US
Telephone Number	:	914-961-3324
Fax Number	:	646-355-0203

Provider Business Practice Location Address
First Line	:	107 LAKE AVE
Second Line	:
City	:	TUCKAHOE
State	:	NY
Zip	:	10707-3915
Country	:	US
Telephone Number	:	914-961-3324
Fax Number	:	646-355-0203

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ERIC POZNYANSKY
Credential	:	DDS
Telephone Number	:	646-721-1505

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “TITANIUM DENTAL PLLC ” Practice Location

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