| Sharp Smile Dental, Pc | |
|
1763 Rockaway Pkwy Brooklyn NY 11236-5037 | |
| (718) 763-9118 | |
| (718) 763-9501 |
| Full Name | Sharp Smile Dental, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1763 Rockaway Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Dmitry Shapiro (PRESIDENT) |
| Authorized Official Contact | 7187639118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharp Smile Dental, Pc 1763 Rockaway Pkwy Brooklyn NY 11236-5037 Ph: (718) 763-9118 | Sharp Smile Dental, Pc 1763 Rockaway Pkwy Brooklyn NY 11236-5037 Ph: (718) 763-9118 |
| NPI Number | 1275020885 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 04/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275020885 | NPI | - | NPPES |
| 03259125 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 054130 (New York) | Primary |
News Archive
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› Verified 9 days ago
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