DR. ALEKSANDER KHASIDOV D.D.S
NPI 1770014011
Dentist - General Practice in Bronx, NY

Active since March 27, 2017
1575 BLONDELL AVE STE 150, BRONX, NY 10461(888) 700-6623 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 2, 2018, Mar 27, 2017 (2 updates tracked since 2017).

About Dr. Aleksander Khasidov D.d.s NPPES

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

DR. ALEKSANDER KHASIDOV D.D.S (NPI 1770014011) is an individual general practice provider in Bronx, New York, licensed in Pennsylvania (DS041975) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1770014011
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALEKSANDER KHASIDOVCredential: D.D.S
Location Address1575 BLONDELL AVE STE 150Bronx, NY 10461-2661
Mailing Address11150 76th RdForest Hills, NY 11375-6454 · (917) 349-3272
Sole ProprietorNo
Enumeration DateMarch 27, 2017
Last NPPES UpdateOctober 2, 20182 updates tracked since enumeration
NPI 1770014011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DS041975
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.

1575 BLONDELL AVE STE 150, Bronx, NY 10461

Accepted Insurance

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.

Student in an Organized Health Care Education/Training Program
1575 BLONDELL AVE STE 150
BRONX, NY 10461
Student in an Organized Health Care Education/Training Program
1575 BLONDELL AVE STE 150
BRONX, NY 10461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770014011, enumerated as an "individual" on March 27, 2017.

The provider is located at 1575 BLONDELL AVE STE 150 BRONX, NY 10461 and the phone number is (888) 700-6623.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.