PARKSIDE DENTAL PC
NPI 1902907744
Dentist - General Practice in Brooklyn, NY

Active since September 26, 2006
325 OCEAN AVE, BROOKLYN, NY 11225(718) 462-7436(718) 462-2418 Get Directions Write a Review

NPPES record last updated: June 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Parkside Dental Pc NPPES

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

PARKSIDE DENTAL PC (NPI 1902907744) is a healthcare organization registered as a general practice in Brooklyn, New York and active in the NPI registry since September 2006. The organization lists Serge Kupetz, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1902907744
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePARKSIDE DENTAL PC
Location Address325 OCEAN AVEBrooklyn, NY 11225
Mailing Address325 Ocean AveBrooklyn, NY 11225 · (718) 462-7436 · Fax (718) 462-2418
Fax(718) 462-2418
Organization SubpartNo
Authorized OfficialSerge KupetzDoctor Owner · (718) 462-7436
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJune 7, 2013
NPI 1902907744 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 · 049097
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.
325 OCEAN AVE, Brooklyn, NY 11225

Other Identifiers 1

Medicaid02119991NY

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

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

Dentist (General Practice)
325 OCEAN AVE
BROOKLYN, NY 11225

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 Parkside Dental PC's NPI number?

The NPI number for Parkside Dental PC is 1902907744. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Parkside Dental PC located?

Parkside Dental PC is located at 325 Ocean Ave, Brooklyn, NY 11225. The listed phone number is (718) 462-7436.

What is Parkside 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 Parkside Dental PC was last updated on June 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.