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LUXE DENTAL PC
NPI 1508535659
Dentist - General Practice in Brooklyn, NY

Active since September 12, 2021
1411 CONEY ISLAND AVE, BROOKLYN, NY 11230(718) 484-1560 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2025, Jan 5, 2025, Sep 12, 2021 (3 updates tracked since 2021).

About Luxe Dental Pc NPPES

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

LUXE DENTAL PC (NPI 1508535659), doing business as Ny Dental Boutique, 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 Kimia Kohanbash, Owner, as its authorized official.

NPPES Registry Identity

NPI1508535659
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLUXE DENTAL PC
Location Address1411 CONEY ISLAND AVEBrooklyn, NY 11230-4137
Mailing Address1411 Coney Island AveBrooklyn, NY 11230-4137 · (718) 484-1560
Phone(718) 484-1560
Organization SubpartNo
Authorized OfficialKimia KohanbashOwner · (718) 484-1560
Enumeration DateSeptember 12, 2021
Last NPPES UpdateFebruary 26, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1508535659 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.
1411 CONEY ISLAND AVE, Brooklyn, NY 11230
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Other Names 1

Doing Business AsNy Dental Boutique

Other Identifiers 1

Medicaid06283352NY

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 3

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

KIMIA KOHANBASH DDS
Dentist
1411 CONEY ISLAND AVE
BROOKLYN, NY 11230
Kings County (718) 484-1560
BATSHEVA KORNFELD DDS
Dentist (General Practice)
1411 CONEY ISLAND AVE
BROOKLYN, NY 11230
Kings County (718) 484-1560
DR. PAUL GAMMAL DDS
Dentist (Oral and Maxillofacial Surgery)
1411 CONEY ISLAND AVE
BROOKLYN, NY 11230
Kings County (917) 974-0869

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 Luxe Dental PC's NPI number?

The NPI number for Luxe Dental PC is 1508535659. It was assigned to this organization in the NPPES registry on September 12, 2021. The provider is doing business as NY Dental Boutique.

Where is Luxe Dental PC located?

Luxe Dental PC is located at 1411 Coney Island Ave, Brooklyn, NY 11230. The listed phone number is (718) 484-1560.

What is Luxe 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 Luxe Dental PC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.