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BAY RIDGE DENTAL GROUP, P.C.
NPI 1164564274
Dentist - General Practice in Brooklyn, NY

Active since February 13, 2007
8415 4TH AVE, A-16, BROOKLYN, NY 11209(718) 836-1716(718) 836-3642 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bay Ridge Dental Group, P.c. NPPES

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

BAY RIDGE DENTAL GROUP, P.C. (NPI 1164564274) is a healthcare organization registered as a general practice in Brooklyn, New York and active in the NPI registry since February 2007. The organization lists Vera Pavlova, Partner, as its authorized official.

NPPES Registry Identity

NPI1164564274
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBAY RIDGE DENTAL GROUP, P.C.
Location Address8415 4TH AVE, A-16Brooklyn, NY 11209-4654
Mailing Address8415 4th Ave, A-16Brooklyn, NY 11209-4654 · (718) 836-1716 · Fax (718) 836-3642
Phone(718) 836-1716
Fax(718) 836-3642
Organization SubpartNo
Authorized OfficialVera PavlovaPartner · (718) 836-1716
Enumeration DateFebruary 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164564274 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 · 049515
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.
8415 4TH AVE, Brooklyn, NY 11209
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Other Identifiers 1

Medicaid02757913NY

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 9

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

DR. ZINAIDA KHODOSH M.D.
Internal Medicine
8415 4TH AVE, APT.#A2
BROOKLYN, NY 11209
Kings County (718) 332-7775
STEPHANIE MARIE CIPRIANO DPT
Physical Therapist
8415 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 921-9721
MS. JENNIFER ORLOW BHATTACHARYA
Specialist
8415 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 866-6367
IVANA LIAO
Physical Therapist
8415 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 648-0888
COURTNEY LAM PT
Physical Therapist
8415 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 648-0888
DR. MOHAMED MOUSTAFA IBRAHIM DPT
Physical Therapist
8415 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 921-9721
BAY RIDGE DENTAL GROUP, P.C.
Dentist (General Practice)
8415 4TH AVE, A-16
BROOKLYN, NY 11209
Kings County (718) 836-1716
MEG O'ROURKE M. ED.
Specialist
8415 4TH AVE, APT C6
BROOKLYN, NY 11209
Kings County (917) 480-0429

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 Bay Ridge Dental Group, P.C.'s NPI number?

The NPI number for Bay Ridge Dental Group, P.C. is 1164564274. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Bay Ridge Dental Group, P.C. located?

Bay Ridge Dental Group, P.C. is located at 8415 4th Ave A-16, Brooklyn, NY 11209. The listed phone number is (718) 836-1716.

What is Bay Ridge Dental Group, P.C.'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 Bay Ridge Dental Group, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.