| Dental Art Care | |
|
481 83rd Street 2nd Floor Brooklyn NY 11209 | |
| (718) 748-1122 | |
| (718) 748-9400 |
| Full Name | Dental Art Care |
|---|---|
| Speciality | Dentist |
| Location | 481 83rd Street, Brooklyn, New York |
| Authorized Official Name and Position | Saleh A Elahwal (OWNER/OPERATOR) |
| Authorized Official Contact | 7187481122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Art Care 481 83rd Street 2nd Floor Brooklyn NY 11209 Ph: (718) 748-1122 | Dental Art Care 481 83rd Street 2nd Floor Brooklyn NY 11209 Ph: (718) 748-1122 |
| NPI Number | 1447500053 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 07/14/2016 |
| Medicare PECOS PAC ID | 5991143745 |
|---|---|
| Medicare Enrollment ID | O20240329001750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447500053 | NPI | - | NPPES |
| 01161471 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 042462-1 (New York) | Primary |
| Provider Name | Saleh Elahwal |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1184633190 PECOS PAC ID: 1951620426 Enrollment ID: I20230428002313 |
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