AFAM FAMILY DENTAL PLLC (NPI# 1114324696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114324696 |
| Entity Type | Organization |
| Organization Name | AFAM FAMILY DENTAL PLLC |
| Practice Address |
5205 Church Ave Brooklyn NY 11203-3513 |
| Practice Telephone | 7184854111 |
| Mailing Telephone | 7184854111 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | DR. ROBERT FATAKHOV (MEMBER) |
| Authorized Official Telephone | 7184854111 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 054434 | NY | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | AFAM FAMILY DENTAL PLLC | 5202 Church Ave., Brooklyn, Ny 11203 |
| Street Address |
5205 CHURCH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962462416 | Igor Khutoretskiy | Specialist | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2006-03-27 |
| 1144697483 | Ralph Beaubrun | Specialist/Technologist, Other | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2015-08-21 |
| 1316289853 | American Comprehensive Healthcare Medical Group. PC | Specialist | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2013-03-22 |
| 1033475157 | Lenore Shamah | Dietitian, Registered | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2012-04-03 |
| 1063718435 | Afam Dental Pllc | Dentist | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2011-02-02 |
| 1508176801 | Anna Kapustina | Physician Assistant | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2010-10-20 |
| 1316195530 | Afam Dental Associates P C | Dentist | 5205 Church Ave, 2nd Fl, Brooklyn, NY 11203-3513 | 2008-08-29 |
| 1477723468 | Jane Jaroonnarm | Dentist | 5205 Church Ave, Floor 2, Brooklyn, NY 11203-3513 | 2008-03-05 |
| 1659576726 | Afam Dental Associates, LLP | Dentist | 5205 Church Ave, 2nd Floor, Dental Suite, Brooklyn, NY 11203-3513 | 2007-06-19 |
| 1184830689 | Yamit Busidan | Obstetrics & Gynecology | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454475 | Mighty Smiles LLC | Dentist | 837 59th St Fl 3, Brooklyn, NY 11220-3611 | 2020-07-15 |
| 1073131967 | Oraleye, Inc. | Dentist | 300 Cadman Plz W Fl 121, Brooklyn, NY 11201-3229 | 2020-07-08 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1215562491 | Magnon Reyes Dds Pllc | Dentist | 2004 Mermaid Ave, Brooklyn, NY 11224-2595 | 2020-03-08 |
| 1093348088 | Natalia Maglevannaya | Dentist | 1719 Sheepshead Bay Rd, Brooklyn, NY 11235-3606 | 2020-02-18 |
| 1558909465 | Greene Ave Dental Pllc | Dentist | 335 Greene Ave, Brooklyn, NY 11238 | 2019-12-11 |
| 1093374548 | David Zhukovsky | Dentist | 1812 Quentin Rd Ste M1, Brooklyn, NY 11229-1336 | 2019-06-09 |
| 1295390706 | Leon Tuberman | Dentist | 464 Neptune Ave Apt 12g, Brooklyn, NY 11224-4306 | 2019-05-09 |
| 1740752732 | Mark Paul Quinn I | Dentist | 1314 E 70th St, Brooklyn, NY 11234-5704 | 2019-01-02 |
| 1083109375 | Zenab Khan | Dentist | 262 56th St Unit 3, Brooklyn, NY 11220-2615 | 2018-06-28 |
| 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.