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DR. EZRO FATTAKHOV DDS
NPI 1811046741
Dentist - General Practice in Forest Hills, NY

Active since January 09, 2007
10510 62ND RD, APT 1F, FOREST HILLS, NY 11375(718) 760-8400(718) 760-8114 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ezro Fattakhov Dds NPPES

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

DR. EZRO FATTAKHOV DDS (NPI 1811046741) is an individual general practice provider in Forest Hills, New York, licensed in New York (046846) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1811046741
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EZRO FATTAKHOVCredential: DDS
Location Address10510 62ND RD, APT 1FForest Hills, NY 11375-1137
Mailing Address9926 64th RdRego Park, NY 11374-2646 · (718) 830-9091
Phone(718) 760-8400
Fax(718) 760-8114
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811046741 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 · 046846
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.
10510 62ND RD, Forest Hills, NY 11375
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Other Identifiers 1

Medicaid01773835NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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.

MS. ELIZABETH DAVIDOV OTR/L
Occupational Therapist
10510 62ND RD, APT. 5R
FOREST HILLS, NY 11375
Queens County (347) 599-8012
SILVIA ELENA MONE DDS
Dentist (General Practice)
10510 62ND RD, APT 1F
FOREST HILLS, NY 11375
Queens County (718) 760-8400

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 Ezro Fattakhov's NPI number?

The NPI number for Ezro Fattakhov is 1811046741. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Ezro Fattakhov located?

Ezro Fattakhov practices at 10510 62nd Rd Apt 1F, Forest Hills, NY 11375. The listed phone number is (718) 760-8400.

What is Ezro Fattakhov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ezro Fattakhov accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Ezro Fattakhov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ezro Fattakhov was last updated on July 8, 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.