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BRONX RIVER DENTAL P.C.
NPI 1336487131
Dental Therapist in Bronx, NY

Active since January 29, 2013
3000 BRONX PARK E, BRONX, NY 10467(718) 655-0075(718) 708-6966 Get Directions Write a Review

NPPES record last updated: November 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bronx River Dental P.c. NPPES

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

BRONX RIVER DENTAL P.C. (NPI 1336487131) is a healthcare organization registered as a dental therapist in Bronx, New York and active in the NPI registry since January 2013. The organization lists Ezro Fattakhov, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1336487131
Entity TypeOrganization
Primary Taxonomy125J00000X
Legal Business NameBRONX RIVER DENTAL P.C.
Location Address3000 BRONX PARK EBronx, NY 10467-6711
Mailing Address3000 Bronx Park EBronx, NY 10467-6711 · (718) 655-0075 · Fax (718) 708-6966
Phone(718) 655-0075
Fax(718) 708-6966
Organization SubpartNo
Authorized OfficialEzro FattakhovDoctor/owner · (718) 456-2626
Enumeration DateJanuary 29, 2013
Last NPPES UpdateNovember 14, 2013
✔ NPI 1336487131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License✔ Licensed in NY · 046846
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
3000 BRONX PARK E, Bronx, NY 10467
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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 5

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

MS. EILEEN L GIBSON-GREEN O.T.R./L
Specialist
3000 BRONX PARK E, APT.6C
BRONX, NY 10467
Bronx County (718) 652-2907
DAPHNE OBAS
Early Intervention Provider Agency
3000 BRONX PARK E, APT 3M
BRONX, NY 10467
Bronx County (917) 640-7530
NELLY SOTOMAYOR
Licensed Practical Nurse
3000 BRONX PARK E, APT 11 I
BRONX, NY 10467
Bronx County (347) 602-8922
LANCELOT PETER ROSE
Registered Nurse
3000 BRONX PARK E, APT.MZI
BRONX, NY 10467
Bronx County (718) 519-7047
ALFREDA J STEVENSON
Registered Nurse
3000 BRONX PARK E
BRONX, NY 10467
Bronx County (347) 849-6484

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 Bronx River Dental P.C.'s NPI number?

The NPI number for Bronx River Dental P.C. is 1336487131. It was assigned to this organization in the NPPES registry on January 29, 2013.

Where is Bronx River Dental P.C. located?

Bronx River Dental P.C. is located at 3000 Bronx Park E, Bronx, NY 10467. The listed phone number is (718) 655-0075.

What is Bronx River Dental P.C.'s specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Bronx River Dental P.C. was last updated on November 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.