Provider Demographics
NPI:1609656891
Name:NASH DENTAL P.C.
Entity type:Organization
Organization Name:NASH DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONID
Authorized Official - Middle Name:
Authorized Official - Last Name:NASHTATIK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-295-9214
Mailing Address - Street 1:226 LIVINGSTON ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5877
Mailing Address - Country:US
Mailing Address - Phone:917-295-9214
Mailing Address - Fax:
Practice Address - Street 1:226 LIVINGSTON ST APT 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5877
Practice Address - Country:US
Practice Address - Phone:917-295-9214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NASH DENTAL P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty