| St. Marks Painless Dental | |
|
907 Saint Marks Ave Brooklyn NY 11213-2004 | |
| (718) 778-3283 | |
| (718) 778-3284 |
| Full Name | St. Marks Painless Dental |
|---|---|
| Speciality | Dentist |
| Location | 907 Saint Marks Ave, Brooklyn, New York |
| Authorized Official Name and Position | Vsevolod Uchitelev (PRESIDENT) |
| Authorized Official Contact | 7187783283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Marks Painless Dental 907 Saint Marks Ave Brooklyn NY 11213-2004 Ph: (718) 778-3283 | St. Marks Painless Dental 907 Saint Marks Ave Brooklyn NY 11213-2004 Ph: (718) 778-3283 |
| NPI Number | 1912997727 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912997727 | NPI | - | NPPES |
| 01602886 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 046200 (New York) | Primary |
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