IK DENTAL
NPI 1104093814
Durable Medical Equipment & Medical Supplies in New York, NY

Q: What is Ik Dental's NPI number?

The NPI number for Ik Dental is 1104093814. It was assigned to this organization in the NPPES registry on May 12, 2008.

Q: What is Ik Dental's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Q: When was this NPI record last updated?

The NPPES record for Ik Dental was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 12, 2008

4405 BROADWAY, NEW YORK, NY 10040(212) 568-1500(855) 201-3647 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 2, 2017 (2 updates tracked since 2017).

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About Ik Dental NPPES

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

IK DENTAL (NPI 1104093814) is a healthcare organization registered as a durable medical equipment & medical supplies in New York, New York and active in the NPI registry since May 2008. The organization lists Igor Klebanov, Autherized Official, as its authorized official.

NPPES Registry Identity

NPI1104093814

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameIK DENTAL

Location Address4405 BROADWAYNew York, NY 10040-4014

Mailing Address4405 BroadwayNew York, NY 10040-4014 · (212) 568-1500 · Fax (855) 201-3647

Phone(212) 568-1500

Fax(855) 201-3647

Organization SubpartYesParent: Yes

Authorized OfficialIgor KlebanovAutherized Official · (212) 568-1500

Enumeration DateMay 12, 2008

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1104093814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in NY · 045540

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedDentistTaxonomy 122300000X · License 045540 (NY)

4405 BROADWAY, New York, NY 10040

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Other Names 1

Former Legal Business NameIk Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. MARK AARON JACKNIN D.O.

Family Medicine