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JEROME DENTAL PC
NPI 1487797338
Clinic/Center - Dental in Brooklyn, NY

Active since February 14, 2007
1810 JEROME AVE, 2ND FLOOR, BROOKLYN, NY 11235(718) 615-2030(718) 615-2030 Get Directions Write a Review

NPPES record last updated: July 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerome Dental Pc NPPES

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

JEROME DENTAL PC (NPI 1487797338) is a healthcare organization registered as a dental in Brooklyn, New York and active in the NPI registry since February 2007. The organization lists Nataliya Gubenko, Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1487797338
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJEROME DENTAL PC
Location Address1810 JEROME AVE, 2ND FLOORBrooklyn, NY 11235-3621
Mailing Address1810 Jerome Ave, 2nd FloorBrooklyn, NY 11235-3621 · (718) 615-2030 · Fax (718) 615-2030
Phone(718) 615-2030
Fax(718) 615-2030
Organization SubpartNo
Authorized OfficialNataliya GubenkoExecutive Officer · (718) 615-2030
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJuly 15, 2007
✔ NPI 1487797338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NY · 046347
1810 JEROME AVE, Brooklyn, NY 11235
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Other Identifiers 1

Medicaid01663405NY

Other Providers at the Same Location NPPES 2

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

DR. NATALIYA GUBENKO DDS
Dentist (General Practice)
1810 JEROME AVE, 2 ND FLOOR
BROOKLYN, NY 11235
Kings County (718) 615-2030
MR. YEVGENY AVDEYCHIK DDS
Dentist
1810 JEROME AVE, 1 FLOOR
BROOKLYN, NY 11235
Kings County (718) 646-0900

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 Jerome Dental PC's NPI number?

The NPI number for Jerome Dental PC is 1487797338. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Jerome Dental PC located?

Jerome Dental PC is located at 1810 Jerome Ave 2nd Floor, Brooklyn, NY 11235. The listed phone number is (718) 615-2030.

What is Jerome Dental PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jerome Dental PC was last updated on July 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.