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KOOROSH SHAMTOUB DDS PC
NPI 1962783779
Dentist in Brooklyn, NY

Active since September 07, 2011
9413 FLATLANDS AVE STE 102W, BROOKLYN, NY 11236(718) 257-0300(718) 257-0670 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Koorosh Shamtoub Dds Pc NPPES

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

KOOROSH SHAMTOUB DDS PC (NPI 1962783779) is a healthcare organization registered as a dentist in Brooklyn, New York and active in the NPI registry since September 2011. The organization lists Koorosh Shamtoub, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962783779
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameKOOROSH SHAMTOUB DDS PC
Location Address9413 FLATLANDS AVE STE 102WBrooklyn, NY 11236-3713
Mailing Address9413 Flatlands Ave Ste 102wBrooklyn, NY 11236-3713 · (718) 257-0300 · Fax (718) 257-0670
Phone(718) 257-0300
Fax(718) 257-0670
Organization SubpartNo
Authorized OfficialKoorosh ShamtoubCeo · (718) 257-0300
Enumeration DateSeptember 7, 2011
✔ NPI 1962783779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 051063
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9413 FLATLANDS AVE STE 102W, Brooklyn, NY 11236
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Other Identifiers 1

Medicaid02496220NY

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.

CANARSIE MODERN DENTISTRY PLLC
Dentist
9413 FLATLANDS AVE STE 102W
BROOKLYN, NY 11236
Kings County (718) 257-0300

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 Koorosh Shamtoub Dds PC's NPI number?

The NPI number for Koorosh Shamtoub Dds PC is 1962783779. It was assigned to this organization in the NPPES registry on September 7, 2011.

Where is Koorosh Shamtoub Dds PC located?

Koorosh Shamtoub Dds PC is located at 9413 Flatlands Ave Ste 102W, Brooklyn, NY 11236. The listed phone number is (718) 257-0300.

What is Koorosh Shamtoub Dds PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Koorosh Shamtoub Dds PC was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.