MOONLIGHT SMILE DENTAL PC
NPI 1558909655
Dentist - General Practice in Brooklyn, NY

Active since December 19, 2019
3064 CONEY ISLAND AVE STE 1A, BROOKLYN, NY 11235(718) 975-7364(718) 975-7365 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moonlight Smile Dental Pc NPPES

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

MOONLIGHT SMILE DENTAL PC (NPI 1558909655) is a healthcare organization registered as a general practice in Brooklyn, New York and active in the NPI registry since December 2019. The organization maintains a secondary practice location in Brooklyn and lists David Hasbani, Manager, as its authorized official.

NPPES Registry Identity

NPI1558909655
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMOONLIGHT SMILE DENTAL PC
Location Address3064 CONEY ISLAND AVE STE 1ABrooklyn, NY 11235-6475
Mailing Address3064 Coney Island Ave Ste 1aBrooklyn, NY 11235-6475 · (718) 975-7364 · Fax (718) 975-7365
Fax(718) 975-7365
Organization SubpartNo
Authorized OfficialDavid HasbaniManager · (718) 339-7773
Enumeration DateDecember 19, 2019
NPI 1558909655 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.
3064 CONEY ISLAND AVE STE 1A, Brooklyn, NY 11235

Secondary Practice Location 1

Location 1731 Coney Island AveBrooklyn, NY 11218-4288 · Phone (718) 339-7773 · Fax (718) 339-7779

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

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 Moonlight Smile Dental PC's NPI number?

The NPI number for Moonlight Smile Dental PC is 1558909655. It was assigned to this organization in the NPPES registry on December 19, 2019.

Where is Moonlight Smile Dental PC located?

Moonlight Smile Dental PC is located at 3064 Coney Island Ave Ste 1A, Brooklyn, NY 11235. The listed phone number is (718) 975-7364.

What is Moonlight Smile 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 Moonlight Smile Dental PC was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.