# MILLENNIUM SMILE DENTISTRY, PC

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

## Provider details

- **NPI number:** 1306931514
- **Authorized official:** DR. VITALIY FABRIKANT DMD (PRESIDENT)
- **Authorized official phone:** (212) 740-7568

## Contact information

- **Practice address:** 120 CABRINI BLVD, \#10, NEW YORK, NY 10033-3438
- **Practice address phone:** (212) 740-7568
- **Practice address fax:** (212) 740-7568
- **Mailing address:** 120 CABRINI BLVD, \#10, NEW YORK, NY 10033-3438
- **Mailing address phone:** (212) 740-7568
- **Mailing address fax:** (212) 740-7568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 048425 | NY | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/22/2020