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MY SMILES DENTAL PC
NPI 1164194874
Dentist - General Practice in Brooklyn, NY

Active since September 30, 2021
2101 BAY RIDGE PKWY # C, BROOKLYN, NY 11204(212) 332-6996 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About My Smiles Dental Pc NPPES

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

MY SMILES DENTAL PC (NPI 1164194874) is a healthcare organization registered as a general practice in Brooklyn, New York and active in the NPI registry since September 2021. The organization lists Grigoriy Yusupov, Owner, as its authorized official.

NPPES Registry Identity

NPI1164194874
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMY SMILES DENTAL PC
Location Address2101 BAY RIDGE PKWY # CBrooklyn, NY 11204-5955
Mailing Address2101 Bay Ridge Pkwy # CBrooklyn, NY 11204-5955 · (212) 332-6996
Phone(212) 332-6996
Organization SubpartNo
Authorized OfficialGrigoriy YusupovOwner · (718) 232-6996
Enumeration DateSeptember 30, 2021
NPPES CertifiedSeptember 30, 2021
✔ NPI 1164194874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2101 BAY RIDGE PKWY # C, Brooklyn, NY 11204
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

YELENA YURCHENKO DDS
Dentist
2101 BAY RIDGE PKWY # C
BROOKLYN, NY 11204
Kings County (718) 232-6996

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 My Smiles Dental PC's NPI number?

The NPI number for My Smiles Dental PC is 1164194874. It was assigned to this organization in the NPPES registry on September 30, 2021.

Where is My Smiles Dental PC located?

My Smiles Dental PC is located at 2101 Bay Ridge Pkwy # C, Brooklyn, NY 11204. The listed phone number is (212) 332-6996.

What is My Smiles Dental PC's specialty?

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

When was this NPI record last updated?

The NPPES record for My Smiles Dental PC was last updated on September 30, 2021. 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.