# YOUR DENTAL HOUSE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205709458
- **Authorized official:** BORIS KAYLAKOV DDS (PRESIDENT)
- **Authorized official phone:** (929) 900-2197

## Contact information

- **Practice address:** 549 E 26TH ST, BROOKLYN, NY 11210-1329
- **Practice address phone:** (929) 900-2197
- **Practice address fax:** (929) 900-2198
- **Mailing address:** 549 E 26TH ST, BROOKLYN, NY 11210-1329
- **Mailing address phone:** (929) 900-2197
- **Mailing address fax:** (929) 900-2198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2025
- **Last updated:** 09/24/2025