MEDICARE: ALLEN M BRESSLER, DDS, 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
1	1223G0001X	General Practice Dentistry	026320	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	:	1982694790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEN M BRESSLER, DDS, PC

Provider Business Mailing Address
First Line	:	1275 PARK ST
Second Line	:
City	:	ATLANTIC BEACH
State	:	NY
Zip	:	11509-1620
Country	:	US
Telephone Number	:	516-670-0190
Fax Number	:	516-670-0193

Provider Business Practice Location Address
First Line	:	1532 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2427
Country	:	US
Telephone Number	:	718-434-5800
Fax Number	:	718-434-8260

Authorized Official
Title or Position	:	CEO
Name	:	DR. ALLEN M BRESSLER
Credential	:	DDS
Telephone Number	:	718-434-5800

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	08/22/2020

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