Gama Dental Pc | |
270 Avenue P Brooklyn NY 11204-4947 | |
(718) 375-9090 | |
(718) 375-6618 |
Full Name | Gama Dental Pc |
---|---|
Speciality | Dentist |
Location | 270 Avenue P, Brooklyn, New York |
Authorized Official Name and Position | Maksim Khelemsky (PRESIDENT) |
Authorized Official Contact | 7183759090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gama Dental Pc 270 Avenue P Brooklyn NY 11204-4947 Ph: (718) 375-9090 | Gama Dental Pc 270 Avenue P Brooklyn NY 11204-4947 Ph: (718) 375-9090 |
NPI Number | 1568697746 |
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Provider Enumeration Date | 05/18/2009 |
Last Update Date | 05/18/2009 |
Medicare PECOS PAC ID | 9830565647 |
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Medicare Enrollment ID | O20221019002579 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568697746 | NPI | - | NPPES |
01421021 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 044836 (New York) | Primary |
Provider Name | Maksim Khelemsky |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1982705067 PECOS PAC ID: 1658747464 Enrollment ID: I20221020001916 |
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