1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Dentist
  6. NPI Profile

YL DENTAL PC
NPI 1730109133
Dentist - General Practice in Brooklyn, NY

Active since July 20, 2006
3030 OCEAN AVE, SUITE AA, BROOKLYN, NY 11235(718) 769-5379(718) 769-2365 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yl Dental Pc NPPES

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

YL DENTAL PC (NPI 1730109133) is a healthcare organization registered as a general practice in Brooklyn, New York and active in the NPI registry since July 2006. The organization lists Edouard Etlis, President, as its authorized official.

NPPES Registry Identity

NPI1730109133
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameYL DENTAL PC
Location Address3030 OCEAN AVE, SUITE AABrooklyn, NY 11235-3363
Mailing Address3030 Ocean Ave, Suite AaBrooklyn, NY 11235-3363 · (718) 769-5379 · Fax (718) 769-2365
Phone(718) 769-5379
Fax(718) 769-2365
Organization SubpartNo
Authorized OfficialEdouard EtlisPresident · (718) 769-5379
Enumeration DateJuly 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730109133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 047627
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.
3030 OCEAN AVE, Brooklyn, NY 11235
Open in Google Maps ↗

Other Identifiers 1

Medicaid01855843NY

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.

EDOUARD ETLIS DDS
Dentist (General Practice)
3030 OCEAN AVE, SUITE AA
BROOKLYN, NY 11235
Kings County (718) 769-5379
YANINA ETLIS DO PC
Family Medicine
3030 OCEAN AVE, SUITE AA
BROOKLYN, NY 11235
Kings County (646) 250-8282
DR. MARINA ISAKOVA M.D.
Physical Medicine & Rehabilitation
3030 OCEAN AVE, APT. 4F
BROOKLYN, NY 11235
Kings County (347) 312-2052

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 Yl Dental PC's NPI number?

The NPI number for Yl Dental PC is 1730109133. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Yl Dental PC located?

Yl Dental PC is located at 3030 Ocean Ave Suite Aa, Brooklyn, NY 11235. The listed phone number is (718) 769-5379.

What is Yl 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 Yl Dental PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.