DR. OLEG LYALIN (NPI# 1639168768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639168768 |
| Entity Type | Individual |
| Full Name | DR. OLEG LYALIN |
| Credential | DDS |
| Practice Address |
807a Utica Ave Brooklyn NY 11203-3410 |
| Practice Telephone | 7189220237 |
| Mailing Telephone | 7189220237 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2009-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
045561 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01505637 | 05 | |
| NY | DORAL | 105879 | 01 |
| Street Address |
807A UTICA AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780575 | David P Heller | Podiatrist | 807a Utica Ave, Brooklyn, NY 11203-3410 | 2005-06-17 |
| 1134397250 | Dr David P Heller | Podiatrist | 807a Utica Ave, Brooklyn, NY 11203-3410 | 2008-02-11 |
| 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 | 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.