SERGE KUPETZ (NPI# 1437250289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437250289 |
| Entity Type | Individual |
| Full Name | SERGE KUPETZ |
| Credential | DDS |
| Practice Address |
325 Ocean Ave Brooklyn NY 11225 |
| Practice Telephone | 7184627436 |
| Practice Fax Number | 7184622418 |
| Mailing Telephone | 7184627436 |
| Mailing Fax Number | 7184622418 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
049097 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02119991 | 05 |
| Street Address |
325 OCEAN AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902907744 | Parkside Dental PC | Dentist | 325 Ocean Ave, Brooklyn, NY 11225 | 2006-09-26 |
| 1760862775 | Parkside Dental PC | Dentist | 325 Ocean Ave, Brooklyn, NY 11225-5560 | 2015-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912533761 | Mona Joseph | Registered Nurse | 1141 Carroll St, Brooklyn Ny 11225, 1141 Carroll St, Brooklyn, NY 11225 | 2020-03-12 |
| 1144889924 | Healthy Smiles Pediatric Dentistry Pllc | Dentist | 540 East New York Avenue, Brooklyn, NY 11225 | 2019-06-06 |
| 1972169969 | Brendy Y Alofe | Licensed Practical Nurse | 49 Crown Street, #8k, Brooklyn, NY 11225 | 2019-05-15 |
| 1912479676 | Michael Thompson | Licensed Practical Nurse | 381 E New York Ave, Brooklyn, NY 11225 | 2018-12-19 |
| 1891241592 | Jeffery Conrad Lawrence | Psychiatry & Neurology | 573 East New York Ave., Apt 1, Brooklyn, NY 11225 | 2016-09-01 |
| 1629462437 | Maria Gonzalo | Social Worker | 29 Rutland Road, Brooklyn, NY 11225 | 2015-03-19 |
| 1700297041 | Chaya Kaufmann | Registered Nurse | 301 Sullivan Place, Apt 4m, Brooklyn, NY 11225 | 2014-05-08 |
| 1629491337 | Lawanna Mackie | Social Worker | 915 Washington Ave., Apt. 1b, Brooklyn, NY 11225 | 2014-01-31 |
| 1003238239 | Elizabeth Obiamaka Obiora I | Licensed Practical Nurse | 140 E New York Ave, 4-f, Brooklyn, NY 11225 | 2014-01-07 |
| 1770928970 | Jonathan Kogen Phd PC | Psychologist | 169 Sterling Street, Brooklyn, NY 11225 | 2013-05-02 |
| Find all providers in zip 11225 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960819 | Marijana Skok | Dentist | 155 N 7th St 2nd Floor, Brooklyn, NY 11249 | 2020-04-14 |
| 1558909655 | Moonlight Smile Dental PC | Dentist | 3064 Coney Island Ave Ste 1a, Brooklyn, NY 11235-6475 | 2019-12-19 |
| 1336795897 | Mark D. Debock Dds | Dentist | 7500 4th Ave Ste A1, Brooklyn, NY 11209-3209 | 2019-08-12 |
| 1891357281 | David Barton | Dentist | 374 Stanhope St, Brooklyn, NY 11237-4434 | 2019-07-05 |
| 1144889924 | Healthy Smiles Pediatric Dentistry Pllc | Dentist | 540 East New York Avenue, Brooklyn, NY 11225 | 2019-06-06 |
| 1225693724 | Mk Smile Dental PC | Dentist | 2860 Ocean Ave Apt A1, Brooklyn, NY 11235-3111 | 2019-05-09 |
| 1265095335 | Malayev Dental P.C. | Dentist | 502 39th St Apt 2f, Brooklyn, NY 11232-3025 | 2019-04-15 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1124595517 | Maria Jezrell Santos | Dentist | 1641 Ryder St, Brooklyn, NY 11234-4306 | 2018-10-24 |
| 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.