MEDICARE: GEORGE ADLER DDS

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	031847-1	NY

General Provider Information

NPI Number	:	1801032289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE ADLER DDS

Provider Business Mailing Address
First Line	:	1272-49TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3011
Country	:	US
Telephone Number	:	718-435-9070
Fax Number	:

Provider Business Practice Location Address
First Line	:	1272 49TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3011
Country	:	US
Telephone Number	:	718-435-9070
Fax Number	:

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

Provider Enumeration Date	:	01/06/2009
Last Update Date	:	01/06/2009

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Directions to “ GEORGE ADLER DDS” Practice Location

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