1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Dentist
  6. NPI Profile

EDOUARD ETLIS DDS
NPI 1013937416
Dentist - General Practice in Brooklyn, NY

Active since July 20, 2006
3030 OCEAN AVE, SUITE AA, BROOKLYN, NY 11235(718) 769-5379(718) 769-2365 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edouard Etlis Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDOUARD ETLIS DDS (NPI 1013937416) is an individual general practice provider in Brooklyn, New York, licensed in New York (047627) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1013937416
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameEDOUARD ETLISCredential: DDS
Location Address3030 OCEAN AVE, SUITE AABrooklyn, NY 11235-3363
Mailing Address3030 Ocean Ave, Suite AaBrooklyn, NY 11235-3363 · (718) 769-5379 · Fax (718) 769-2365
Phone(718) 769-5379
Fax(718) 769-2365
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013937416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 047627
Definition
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.
3030 OCEAN AVE, Brooklyn, NY 11235
Open in Google Maps ↗

Other Identifiers 1

Medicaid01855843NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YANINA ETLIS DO PC
Family Medicine
3030 OCEAN AVE, SUITE AA
BROOKLYN, NY 11235
Kings County (646) 250-8282
YL DENTAL PC
Dentist (General Practice)
3030 OCEAN AVE, SUITE AA
BROOKLYN, NY 11235
Kings County (718) 769-5379
DR. MARINA ISAKOVA M.D.
Physical Medicine & Rehabilitation
3030 OCEAN AVE, APT. 4F
BROOKLYN, NY 11235
Kings County (347) 312-2052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edouard Etlis's NPI number?

The NPI number for Edouard Etlis is 1013937416. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Edouard Etlis located?

Edouard Etlis practices at 3030 Ocean Ave Suite Aa, Brooklyn, NY 11235. The listed phone number is (718) 769-5379.

What is Edouard Etlis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Edouard Etlis accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Edouard Etlis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edouard Etlis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.