MEDICARE: OLEG PEN 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	122300000X	Dentist	044465	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	:	1801816384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLEG PEN DDS

Provider Business Mailing Address
First Line	:	1601 AVENUE Z
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3809
Country	:	US
Telephone Number	:	718-648-4990
Fax Number	:	718-648-4782

Provider Business Practice Location Address
First Line	:	1601 AVENUE Z
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3809
Country	:	US
Telephone Number	:	718-648-4990
Fax Number	:	718-648-4782

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1316068034 — BROOKLYN HEARING HEALTH ASSOC., PC
Practice Location Address:

1601 AVENUE Z
BROOKLYN, NY
11235-3809

Practice Phone: 718-743-8223
Practice Fax:

1639478712 — MS. YUN NGAN WONG-KAN MS,RD,CDN
Practice Location Address:

314 82ND ST
BROOKLYN, NY
11209-3809

Practice Phone: 171-892-1370
Practice Fax:

1598057663 — EVETT CHIN
Practice Location Address:

977 E 80TH ST
BROOKLYN, NY
11236-3809

Practice Phone: 718-241-8264
Practice Fax:

1013201367 — MISS NICOLLETTE A THETFORD LPN
Practice Location Address:

973 E 80TH ST
BROOKLYN, NY
11236-3809

Practice Phone: 516-528-9589
Practice Fax:

1588937833 — JENNIFER EPIFANIO MSED
Practice Location Address:

206 BAY 8TH ST
BROOKLYN, NY
11228-3809

Practice Phone: 646-691-5984
Practice Fax:

1336402296 — MS. NAYDA SOLIVAN MS
Practice Location Address:

332 82ND ST , 2
BROOKLYN, NY
11209-3809

Practice Phone: 347-967-8107
Practice Fax:

Directions to “ OLEG PEN DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.