4TH AVENUE DENTAL
NPI 1295009447
Dentist - General Practice in Brooklyn, NY

Q: What is 4th Avenue Dental's NPI number?

The NPI number for 4th Avenue Dental is 1295009447. It was assigned to this organization in the NPPES registry on March 6, 2012.

Q: What is 4th Avenue Dental's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for 4th Avenue Dental was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 March 06, 2012

5404 4TH AVE, BROOKLYN, NY 11220(718) 439-2876(718) 439-2879 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About 4th Avenue Dental NPPES

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

4TH AVENUE DENTAL (NPI 1295009447) is a healthcare organization registered as a general practice in Brooklyn, New York and active in the NPI registry since March 2012. The organization lists Andrew Maron, Owner, as its authorized official.

NPPES Registry Identity

NPI1295009447

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business Name4TH AVENUE DENTAL

Location Address5404 4TH AVEBrooklyn, NY 11220-3006

Mailing Address5404 4th AveBrooklyn, NY 11220-3006 · (718) 439-2876 · Fax (718) 439-2879

Phone(718) 439-2876

Fax(718) 439-2879

Organization SubpartNo

Authorized OfficialAndrew MaronOwner · (718) 439-2876

Enumeration DateMarch 6, 2012

✔ NPI 1295009447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in NJ · 18369✔ Licensed in NY · 027990

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.

5404 4TH AVE, Brooklyn, NY 11220

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

FOURTH AVENUE DENTAL

Dentist (Oral and Maxillofacial Surgery)

5404 4TH AVE
BROOKLYN, NY 11220

Kings County (718) 439-2876

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 4th Avenue Dental's NPI number?

The NPI number for 4th Avenue Dental is 1295009447. It was assigned to this organization in the NPPES registry on March 6, 2012.

Where is 4th Avenue Dental located?

4th Avenue Dental is located at 5404 4th Ave, Brooklyn, NY 11220. The listed phone number is (718) 439-2876.

What is 4th Avenue Dental'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 4th Avenue Dental was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.