DR. BRUCE BARRY MALTZ (NPI# 1023207495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023207495 |
| Entity Type | Individual |
| Full Name | DR. BRUCE BARRY MALTZ |
| Credential | D.D.S |
| Practice Address |
955 Pennsylvania Ave Brooklyn NY 11207-8416 |
| Practice Telephone | 7182728300 |
| Practice Fax Number | 7182723978 |
| Mailing Telephone | 7182728300 |
| Mailing Fax Number | 7182723978 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
024997-1 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871694315 | Bruce L Maltz | Dermatology | 280 Baldwin Ave, San Mateo, CA 94401-3915 | 2006-09-26 |
| Street Address |
955 PENNSYLVANIA AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11207-8416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104929132 | Seth Lawrence Maltz | Dentist | 955 Pennsylvania Ave, Brooklyn, NY 11207-8416 | 2006-09-06 |
| 1992968135 | Bruce B. Maltz Dds | Dentist | 955 Pennsylvania Ave, Brooklyn, NY 11207-8416 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356817142 | Tajeet Singh | Licensed Practical Nurse | 174 East 51, Brooklyn, NY 11207 | 2018-10-18 |
| 1801306147 | Ebony Herring | Counselor | 2640 Pitkin Avenue, Brooklyn, NY 11207 | 2017-09-30 |
| 1780106153 | Ivonne Perry | Registered Nurse | 35 Mc Clancy Pl, Brooklyn, NY 11207 | 2017-07-07 |
| 1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
| 1003368333 | Alison Deborah Kahler | Social Worker | 557 Pennsylvania Ave, Room 155, Icl School Based Program At Ps13, Brooklyn, NY 11207 | 2016-11-03 |
| 1942757836 | Melissa Santana | Counselor | Bushwick Child and Family Mental Health Center, 102 Pilling Street, Brooklyn, NY 11207 | 2016-09-08 |
| 1871943050 | Joan Murrell | Licensed Practical Nurse | 297 Bradford St, Brooklyn, NY 11207 | 2016-06-17 |
| 1386019321 | Marta Josephine Jablonka I | Peer Specialist | 137 Dewitt Ave, Brooklyn, NY 11207 | 2015-12-02 |
| 1962877076 | Uche Rosario Oboh | Pharmacist | Nyc Health & Hospitals Gotham Health Center, 2094 Pitkin Avenue, Brooklyn, NY 11207 | 2015-12-01 |
| 1467837997 | Dhalene Wharton | Licensed Practical Nurse | 540 Shefield Ave, Brooklyn, NY 11207 | 2015-07-27 |
| Find all providers in zip 11207 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871006064 | Ny Oral and Maxillofacial Surgeon, PC | Dentist | 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 | 2017-11-09 |
| 1194149674 | Georgetowndentalspa LLC | Dentist | 2167 Ralph Ave, Brooklyn, NY 11234 | 2014-02-05 |
| 1831539832 | Barrington Oneal Anderson | Dentist | 3304 Glenwood, Prism Dental PC, Brooklyn, NY 11210 | 2013-07-05 |
| 1043568751 | Ghazal Mahjoubi | Dentist | 120 Nassau Ave Brooklyn Ny, Brooklyn, NY 11222 | 2012-08-28 |
| 1740572841 | Oluremi Ogunsanya | Dentist | 1610 E 19th St Ste 1, Brooklyn, NY 11229-1375 | 2011-05-06 |
| 1740418961 | Garry Shnayder | Dentist | 1512 Avenue Z, Brooklyn, NY 11235-3808 | 2009-06-25 |
| 1790926244 | James C Kang | Dentist | 155 Ashland Pl, Brooklyn, NY 11201-5401 | 2009-03-12 |
| 1760637672 | Yuriy Yusupov | Dentist | 7901 4th Ave Ste A3, Brooklyn, NY 11209-3970 | 2008-11-19 |
| 1902053804 | Mikhail Ruvinsky | Dentist | 2973 Ocean Ave, Brooklyn, NY 11235-3201 | 2008-08-21 |
| 1265688691 | Igor Tarlo | Dentist | 1951 E 26th St, Brooklyn, NY 11229-2439 | 2008-08-18 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.